{"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":210130,"network_name":["WA Network"],"provider_groups":[{"npi":[1295015832],"tin":{"type":"ein","value":"205702357","business_name":"YELM VISION CLINIC_1417032590"}}]}],"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"10 YR F/U INTERVAL COLONOSCOPY NOT RCMDD RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1379","description":"10 YR F/U INTERVAL COLONOSCOPY NOT RCMDD RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4559F","description":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4559F","description":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9873","description":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 LT  ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0032","description":"2 LT  ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 LT  BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0033","description":"2 LT  BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP ACHV AL 5PC WL MO 7-9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9878","description":"2 MDPP C MS ATD MDPP ACHV AL 5PC WL MO 7-9","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP BEN ACHV AT 5PC WL MO 10-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9879","description":"2 MDPP C MS ATD MDPP BEN ACHV AT 5PC WL MO 10-12","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP BEN IN MO 7-9 NOT AL 5PC WL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9876","description":"2 MDPP C MS ATD MDPP BEN IN MO 7-9 NOT AL 5PC WL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP BEN MO 10-12  NO AL 5PC WL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9877","description":"2 MDPP C MS ATD MDPP BEN MO 10-12  NO AL 5PC WL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGO MS ATD MDPP BNF MO 16-18 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9883","description":"2 MDPP ONGO MS ATD MDPP BNF MO 16-18 UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9884","description":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9885","description":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9882","description":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4145F","description":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4145F","description":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0702","description":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2-D O/F PHOTO IMG OBTD INTRAORL/EO-IMG CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0703","description":"2-D O/F PHOTO IMG OBTD INTRAORL/EO-IMG CAP ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR  AND  ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0340","description":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR  AND  ANALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ANATOMICAL SEG IMG PREOP PLANNING DATA PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8001","description":"3D ANATOMICAL SEG IMG PREOP PLANNING DATA PREP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D CONTOUR SIMULAJ TRGT LVR LES and MRGN MICRWV ABLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0944T","description":"3D CONTOUR SIMULAJ TRGT LVR LES and MRGN MICRWV ABLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D PREDICTIVE MODEL USING DATA FRM CCTA  and /OR MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9793","description":"3D PREDICTIVE MODEL USING DATA FRM CCTA  and /OR MRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D PRINTING OF A 3D DENTAL SURFACE SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0396","description":"3D PRINTING OF A 3D DENTAL SURFACE SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RADIODEN VAL BN IMG ALGO DERIV FROM PREV MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0566","description":"3D RADIODEN VAL BN IMG ALGO DERIV FROM PREV MRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D VOLUMETRIC IMG and RCNSTJ BRST/AX LYMPH NODE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0694T","description":"3D VOLUMETRIC IMG and RCNSTJ BRST/AX LYMPH NODE TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9874","description":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5010","description":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7121","description":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7121","description":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5012","description":"5 PCT  DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/0.45 PCT  NL SALINE W/KCL and MGSO4 1500 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5014","description":"5 PCT  DEXTROSE/0.45 PCT  NL SALINE W/KCL and MGSO4 1500 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.31,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.31,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DXTROS/0.45 PCT  NL SALINE KCL and MGSO4 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5013","description":"5 PCT  DXTROS/0.45 PCT  NL SALINE KCL and MGSO4 1000 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2025F","description":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9875","description":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.86,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A/C WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4422","description":"A/C WRAP PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABETA42  and  TTAU ECLIA CEREBRAL SPINAL FLUID RATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0459U","description":"ABETA42  and  TTAU ECLIA CEREBRAL SPINAL FLUID RATIO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4356","description":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4355","description":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4355","description":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION B9 BRST TUM PERQ LASER W/IMG GDN EA TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0970T","description":"ABLATION B9 BRST TUM PERQ LASER W/IMG GDN EA TUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0673T","description":"ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE 1 Plus TUMORS PR ORGN W/FLUOR and US GDN OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0601T","description":"ABLATION IRE 1 Plus TUMORS PR ORGN W/FLUOR and US GDN OPN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47384","description":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55877","description":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION MAL BRST TUM PERQ LASER W/IMG GDN UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0971T","description":"ABLATION MAL BRST TUM PERQ LASER W/IMG GDN UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0581T","description":"ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32998","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55881","description":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55882","description":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60661","description":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60660","description":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ B9 PRST8 TISSUE TRANSRECTAL HIFU W/US GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0950T","description":"ABLTJ B9 PRST8 TISSUE TRANSRECTAL HIFU W/US GDN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19105","description":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ IRE 1 Plus TUM ORGN OTH/THN LVR/PRST8 IMG PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0600T","description":"ABLTJ IRE 1 Plus TUM ORGN OTH/THN LVR/PRST8 IMG PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0441T","description":"ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0442T","description":"ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0440T","description":"ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO GNOTYP GENE ALYS NEXT-GENERATION SEQ ABO GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0221U","description":"ABO GNOTYP GENE ALYS NEXT-GENERATION SEQ ABO GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSOLV3 MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4401","description":"ABSOLV3 MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0744","description":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN/LESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ  GT  48 SQ IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0746","description":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ  GT  48 SQ IN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSRB WD DR HOM MDL PRT PAD GT 16 SQ IN LT or equal to  48","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0745","description":"ABSRB WD DR HOM MDL PRT PAD GT 16 SQ IN LT or equal to  48","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT RETAINR CAST METL FPD PREDOM BASE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6073","description":"ABUT RETAINR CAST METL FPD PREDOM BASE METL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT RETAINR PORCELN TO METL FPD HI NOBL METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6069","description":"ABUT RETAINR PORCELN TO METL FPD HI NOBL METL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT RETN PORCELN TO METL FPD PREDOM BASE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6070","description":"ABUT RETN PORCELN TO METL FPD PREDOM BASE METL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPP PORCELAIN TO METAL CROWN NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6061","description":"ABUT SUPP PORCELAIN TO METAL CROWN NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPP PORCELAIN TO METL CROWN HI NOBLE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6059","description":"ABUT SUPP PORCELAIN TO METL CROWN HI NOBLE METL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPP PORCELAIN TO MTL CROWN PREDOM BASE MTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6060","description":"ABUT SUPP PORCELAIN TO MTL CROWN PREDOM BASE MTL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6195","description":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPPORTED RETAINER PORCELAIN/CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6068","description":"ABUT SUPPORTED RETAINER PORCELAIN/CERAMIC FPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPPORTED RETAINER PORCELN FUSED METAL FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6071","description":"ABUT SUPPORTED RETAINER PORCELN FUSED METAL FPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT RETAINR CAST METAL FPD NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6074","description":"ABUTMENT RETAINR CAST METAL FPD NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CAST METAL CROWN HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6062","description":"ABUTMENT SUPP CAST METAL CROWN HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CAST METAL CROWN NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6064","description":"ABUTMENT SUPP CAST METAL CROWN NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CAST METAL CROWN PREDOM BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6063","description":"ABUTMENT SUPP CAST METAL CROWN PREDOM BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CROWN - PORCELAIN FU TI  AND  TI ALLOY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6097","description":"ABUTMENT SUPP CROWN - PORCELAIN FU TI  AND  TI ALLOY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CROWN - TITANIUM  AND  TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6094","description":"ABUTMENT SUPP CROWN - TITANIUM  AND  TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP RETAIN CROWN FPD - TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6194","description":"ABUTMENT SUPP RETAIN CROWN FPD - TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6058","description":"ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6072","description":"ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS TISS GR and MIC EX ASSESS SURG MARG PREP/RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0474","description":"ACCESS TISS GR and MIC EX ASSESS SURG MARG PREP/RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS TISSUE GR and MIC EXAMINATION PREP/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0473","description":"ACCESS TISSUE GR and MIC EXAMINATION PREP/REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSING  and  RETORQUING LOOSE IMPLANT SCR-PER SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6089","description":"ACCESSING  and  RETORQUING LOOSE IMPLANT SCR-PER SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSION OF TISSUE GROSS EXAMINATION PREP/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0472","description":"ACCESSION OF TISSUE GROSS EXAMINATION PREP/REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DVC EMG SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2513","description":"ACCESSORY FOR SPEECH GENERATING DVC EMG SENSOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1203","description":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1200","description":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4395","description":"ACELAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9354","description":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP/REPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0480","description":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP/REPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TRIFACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4386","description":"ACESSO TRIFACA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7604","description":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.54,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACHR ANTIBODY ID IMMUNOFLUORESCENCE LIVE CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0545U","description":"ACHR ANTIBODY ID IMMUNOFLUORESCENCE LIVE CELLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4680","description":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVE THORACIC IRRIGATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1021T","description":"ACTIVE THORACIC IRRIGATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVITY THERAPY PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2032","description":"ACTIVITY THERAPY PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV TX  REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0176","description":"ACTV TX  REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE PVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1337","description":"ACUTE PVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE PVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1383","description":"ACUTE PVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1333","description":"ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0373T","description":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0373T","description":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4282","description":"ADAPTER FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER SINGLE-USE AT U/S SYSTEM TO UPR GI ENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1606","description":"ADAPTER SINGLE-USE AT U/S SYSTEM TO UPR GI ENDO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5660","description":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENCOUNTR RA DX AT LEAST 90 DAYS DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1374","description":"ADD ENCOUNTR RA DX AT LEAST 90 DAYS DUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENCOUNTR RA DX AT LEAST 90 DAYS DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1375","description":"ADD ENCOUNTR RA DX AT LEAST 90 DAYS DUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENCOUNTR RA DX AT LEAST 90 DAYS DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1376","description":"ADD ENCOUNTR RA DX AT LEAST 90 DAYS DUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2861","description":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PROS MAN/AUTO LIMB VOL MGMT ANY MTRLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5657","description":"ADD LW EXT PROS MAN/AUTO LIMB VOL MGMT ANY MTRLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD MTL SUBSTRUC TO ACRYLIC CMPLT DENT PER ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5876","description":"ADD MTL SUBSTRUC TO ACRYLIC CMPLT DENT PER ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2971","description":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD SINGLE PROS DIGIT/THUMB MECH ATT MULTIAXIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6038","description":"ADD SINGLE PROS DIGIT/THUMB MECH ATT MULTIAXIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO SPINAL ORTHOSIS NOT OTHERWISE SPECFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0999","description":"ADD TO SPINAL ORTHOSIS NOT OTHERWISE SPECFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ADD TOOTH TO EXISTING PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5650","description":"ADD TOOTH TO EXISTING PARTIAL DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3891","description":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ADJ MECH RES LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7406","description":"ADD UP EXT PROS ADJ MECH RES LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPR EXT PROS PART HND F UL MATL TI CO FIB/ Equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6032","description":"ADD UPR EXT PROS PART HND F UL MATL TI CO FIB/ Equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION ENDOSKELETAL ANKLE-FOOT/ANK PWR ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5969","description":"ADDITION ENDOSKELETAL ANKLE-FOOT/ANK PWR ASSIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXT ORTHOSIS ANKLE SYS PF  and / DF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2221","description":"ADDITION LOWER EXT ORTHOSIS ANKLE SYS PF  and / DF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6805","description":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION UPPER EXT PROS PARTIAL HND ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6033","description":"ADDITION UPPER EXT PROS PARTIAL HND ACRYLIC MATL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITIVE FOR ENTERAL FORMULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4104","description":"ADDITIVE FOR ENTERAL FORMULA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDL SUPL MATRL and STAF TM DRG PHE RES-TR NFCT DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99072","description":"ADDL SUPL MATRL and STAF TM DRG PHE RES-TR NFCT DS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3776F","description":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOVIRUS VACCINE TYPE 4 LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90476","description":"ADENOVIRUS VACCINE TYPE 4 LIVE ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90477","description":"ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6413","description":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9738","description":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY/BX PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0431","description":"ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY/BX PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST COMPLETE DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5411","description":"ADJUST COMPLETE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST COMPLETE DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5410","description":"ADJUST COMPLETE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5992","description":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST PARTIAL DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5422","description":"ADJUST PARTIAL DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST PARTIAL DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5421","description":"ADJUST PARTIAL DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1570","description":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9223","description":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9243","description":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1502","description":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9222","description":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HOME SLEEP APNEA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9956","description":"ADMINISTRATION OF HOME SLEEP APNEA TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0008","description":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0008","description":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF MODERATE SEDATION ENTERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9245","description":"ADMINISTRATION OF MODERATE SEDATION ENTERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9239","description":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF NITROUS OXIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9230","description":"ADMINISTRATION OF NITROUS OXIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0009","description":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0009","description":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.34,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN MED NOT ORAL  and  OR INJ HLTH AGENCY/PROF VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1503","description":"ADMN MED NOT ORAL  and  OR INJ HLTH AGENCY/PROF VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2107","description":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0717T","description":"ADRC THER PRTL THICKNESS RC TEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0718T","description":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL CORTICAL TUM BIOCHEM ASSAY 25 STRD MRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0015M","description":"ADRENAL CORTICAL TUM BIOCHEM ASSAY 25 STRD MRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL TISSUE TRANSPLANT TO BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2103","description":"ADRENAL TISSUE TRANSPLANT TO BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT DAY CENTER 8-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0530","description":"ADULT DAY CENTER 8-HOUR UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1123F","description":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1123F","description":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0053","description":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0001","description":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0055","description":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4382","description":"ADVOGRAFT DUAL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT ONE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4380","description":"ADVOGRAFT ONE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEROGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4370","description":"AEROGUARD PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1933","description":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGRFT SUSP INCL CELL PROC  and  APPL  and  ALL SYST COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1832","description":"AGRFT SUSP INCL CELL PROC  and  APPL  and  ALL SYST COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0312U","description":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI MS DNA MTHYLTN ALYS  GT 5000 SITES WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0623U","description":"AI MS DNA MTHYLTN ALYS  GT 5000 SITES WHOLE BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI PSORIASIS MRNA GEN XPRSN PRFL 50-100 GEN ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0258U","description":"AI PSORIASIS MRNA GEN XPRSN PRFL 50-100 GEN ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI SLE IGG  AND  IGM ALYS 80 BMRK SRM ALG RSK SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0062U","description":"AI SLE IGG  AND  IGM ALYS 80 BMRK SRM ALG RSK SCORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1530","description":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR DISPLACEMENT PLETHYSMOGRAP WHL BDY COMP ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1002T","description":"AIR DISPLACEMENT PLETHYSMOGRAP WHL BDY COMP ASMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR POLYMER TYPE A INTRAUTERINE FOAM PER ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4024","description":"AIR POLYMER TYPE A INTRAUTERINE FOAM PER ST DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE ELEVATOR FOR HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0370","description":"AIR PRESSURE ELEVATOR FOR HEEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3300F","description":"AJCC STAGE DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3300F","description":"AJCC STAGE DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BC DX  Equal to  I  and  T-STG DOES NOT  Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BC DX  Equal to  I  and  T-STG DOES NOT  Equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALC  and /OTH RX TST: CLCT and HNDLING ONLY OTH THAN BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0048","description":"ALC  and /OTH RX TST: CLCT and HNDLING ONLY OTH THAN BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0020","description":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL and /RX PREV PROB ID and REF SRVC NOT W/ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0028","description":"ALCOHL and /RX PREV PROB ID and REF SRVC NOT W/ASSESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL and /RX PREVENTION PROCESS SERVICE CMTY-BASED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0026","description":"ALCOHL and /RX PREVENTION PROCESS SERVICE CMTY-BASED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL and /RX SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0015","description":"ALCOHL and /RX SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2034","description":"ALCOHOL  AND OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG PREVENTION ALTERNATIVES SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0029","description":"ALCOHOL  AND OR DRUG PREVENTION ALTERNATIVES SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG PREVENTION ENVIR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0027","description":"ALCOHOL  AND OR DRUG PREVENTION ENVIR SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0009","description":"ALCOHOL  AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0009","description":"ALCOHOL  AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; AMB DETOXIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0014","description":"ALCOHOL  AND OR DRUG SERVICES; AMB DETOXIFICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; CRISIS INTERVENTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0007","description":"ALCOHOL  AND OR DRUG SERVICES; CRISIS INTERVENTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; GROUP CNSL CLINICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0005","description":"ALCOHOL  AND OR DRUG SERVICES; GROUP CNSL CLINICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0008","description":"ALCOHOL  AND OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2035","description":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SERVICES; ACUTE DTOX RES PROG IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0011","description":"ALCOHOL  and / DRUG SERVICES; ACUTE DTOX RES PROG IP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SERVICES; ACUTE DTOX RES PROG OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0013","description":"ALCOHOL  and / DRUG SERVICES; ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0010","description":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG IP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0012","description":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0397","description":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0396","description":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG INTERVENTION SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0022","description":"ALCOHOL AND/OR DRUG INTERVENTION SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0049","description":"ALCOHOL AND/OR DRUG SCREENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0006","description":"ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG TRAINING SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0021","description":"ALCOHOL AND/OR DRUG TRAINING SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0047","description":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUBSTANCE ABS SERVICES SKILLS DVLP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1012","description":"ALCOHOL and /SUBSTANCE ABS SERVICES SKILLS DVLP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUBSTNC ABS SRVC TX PLAN DVLP and /MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1007","description":"ALCOHOL and /SUBSTNC ABS SRVC TX PLAN DVLP and /MOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9280","description":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALEXIGUARD DL-T PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4417","description":"ALEXIGUARD DL-T PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALEXIGUARD SL-T PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4415","description":"ALEXIGUARD SL-T PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALEXIGUARD TL-T PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4416","description":"ALEXIGUARD TL-T PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ALKALOIDS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80323","description":"ALKALOIDS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2172","description":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL PATIENTS DX RECUR MELANOMA DUR CUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1391","description":"ALL PATIENTS DX RECUR MELANOMA DUR CUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL and IMMUNOLOGY CHRNC RECR AE 4BK PEPTIDE LC-MSMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0604U","description":"ALL and IMMUNOLOGY CHRNC RECR AE 4BK PEPTIDE LC-MSMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL and IMMUNOLOGY HAT DNA ALYS TPSAB1 GENE CNV DPCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0605U","description":"ALL and IMMUNOLOGY HAT DNA ALYS TPSAB1 GENE CNV DPCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0060","description":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20930","description":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPROSTADIL URETHRAL SUPPOSITORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0275","description":"ALPROSTADIL URETHRAL SUPPOSITORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPROSTADIL URETHRAL SUPPOSITORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0275","description":"ALPROSTADIL URETHRAL SUPPOSITORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATING ELECTRIC FLD DOSIM and DLVR SIMULAJ MLDG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1025T","description":"ALTERNATING ELECTRIC FLD DOSIM and DLVR SIMULAJ MLDG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY NOT W/EXTRACTIONS 4 OR GT  TEETH/SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7320","description":"ALVEOLOPLASTY NOT W/EXTRACTIONS 4 OR GT  TEETH/SPACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY W/EXTRACTION 4 OR GT  TEETH/SPACE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7310","description":"ALVEOLOPLASTY W/EXTRACTION 4 OR GT  TEETH/SPACE QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7311","description":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7321","description":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - CLOSED REDUCTION MAY INC STABIL TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7670","description":"ALVEOLUS - CLOSED REDUCTION MAY INC STABIL TEETH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - OPEN RDUC MAY INCL STABILIZATN TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7671","description":"ALVEOLUS - OPEN RDUC MAY INCL STABILIZATN TEETH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7770","description":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7771","description":"ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2161","description":"AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-ONE SURFACE PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2140","description":"AMALGAM-ONE SURFACE PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-THREE SURFACES PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2160","description":"AMALGAM-THREE SURFACES PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-TWO SURFACES PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2150","description":"AMALGAM-TWO SURFACES PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9960","description":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9961","description":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY TRACTION DEVICE ALL TYPES EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0830","description":"AMBULATORY TRACTION DEVICE ALL TYPES EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOMATRIXDL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4410","description":"AMCHOMATRIXDL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST EXCL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4372","description":"AMCHOPLAST EXCL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST FD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4360","description":"AMCHOPLAST FD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOTHICK PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4368","description":"AMCHOTHICK PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7345","description":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7345","description":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.02,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4774","description":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4299","description":"AMNICORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4299","description":"AMNICORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4365","description":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4363","description":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4364","description":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4367","description":"AMNIOCORE SL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4367","description":"AMNIOCORE SL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCYTE PLUS PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4242","description":"AMNIOCYTE PLUS PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIODEFEND FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4379","description":"AMNIODEFEND FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4139","description":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOMATRIXF3X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4409","description":"AMNIOMATRIXF3X PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOMATRIXF4X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4411","description":"AMNIOMATRIXF4X PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 3 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4369","description":"AMNIOPLAST 3 PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST DOUBLE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4391","description":"AMNIOPLAST DOUBLE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4245","description":"AMNIOTEXT PER CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2790","description":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS SALIVA SAMPLE LABORATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0418","description":"ANALYSIS SALIVA SAMPLE LABORATORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1311","description":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP 1-3 TEETH/BND TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4231","description":"ANAT CROWN EXP 1-3 TEETH/BND TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP-4 OR GT CONT TEETH/BND TT SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4230","description":"ANAT CROWN EXP-4 OR GT CONT TEETH/BND TT SPACES QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0561T","description":"ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANTMC STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0559T","description":"ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANTMC STRUX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANCHOR/SCREW FOR BONE FIX ABSORBABLE METALLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1741","description":"ANCHOR/SCREW FOR BONE FIX ABSORBABLE METALLIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANCHOR/SCREW OPPOSING BN-TO-BN/SOFT TISSUE-TO-BN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1713","description":"ANCHOR/SCREW OPPOSING BN-TO-BN/SOFT TISSUE-TO-BN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROLOGY INFERTILITY SPERM CAPACITATION ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0255U","description":"ANDROLOGY INFERTILITY SPERM CAPACITATION ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4560F","description":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0061","description":"ANESTHESIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1002F","description":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1002F","description":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0446","description":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL GYN EXAM CLIN BREAST EXAM W/O PELV EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0613","description":"ANNUAL GYN EXAM CLIN BREAST EXAM W/O PELV EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0610","description":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DIR SBMCSL NJX BULKING AGT ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0963T","description":"ANOSCOPY DIR SBMCSL NJX BULKING AGT ANAL CANAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO  and  I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO  and  I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22836","description":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22837","description":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0224U","description":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TREPONEMA PALLIDUM TOTAL  AND  RPR IA QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0064U","description":"ANTIBODY TREPONEMA PALLIDUM TOTAL  AND  RPR IA QUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0605","description":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9401","description":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80338","description":"ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80332","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80333","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80334","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80335","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80336","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80337","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80339","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80340","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80341","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0604","description":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80342","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80343","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80344","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISPERM ANTIBODIES TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3655","description":"ANTISPERM ANTIBODIES TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":"2022","billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY FASTING/DIR LDL-C LAB TEST RSLT  LT or equal to  190 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY FASTING/DIR LDL-C LAB TEST RSLT  LT or equal to  190 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0157U","description":"APC GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATION - FINAL VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3353","description":"APEXIFICATION/RECALCIFICATION - FINAL VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATION INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3351","description":"APEXIFICATION/RECALCIFICATION INITIAL VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATN INTERIM MED REPLACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3352","description":"APEXIFICATION/RECALCIFICATN INTERIM MED REPLACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICALLY POSITIONED FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4245","description":"APICALLY POSITIONED FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3426","description":"APICOECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3410","description":"APICOECTOMY - ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - MOLAR FIRST ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3425","description":"APICOECTOMY - MOLAR FIRST ROOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3421","description":"APICOECTOMY - PREMOLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2010","description":"APIS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOL1 RISK VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0355U","description":"APOL1 RISK VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLLO FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4385","description":"APOLLO FT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS LLLT PO PAIN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97037","description":"APPL MODALITY 1 Plus  AREAS LLLT PO PAIN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKIN CELL SSP AGRFT T/A/L 1ST 480 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15015","description":"APPL SKIN CELL SSP AGRFT T/A/L 1ST 480 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKIN CELL SSP AGRFT T/A/L EA ADDL 480 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15016","description":"APPL SKIN CELL SSP AGRFT T/A/L EA ADDL 480 SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT 1ST 480","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15017","description":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT 1ST 480","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15018","description":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7997","description":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIC DESENZT RSN CERV  AND OR ROOT SURF-TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9911","description":"APPLIC DESENZT RSN CERV  AND OR ROOT SURF-TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8948","description":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CARIES ARREST MEDICAMENT-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1354","description":"APPLICATION CARIES ARREST MEDICAMENT-PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF DESENSITIZING MEDICAMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9910","description":"APPLICATION OF DESENSITIZING MEDICAMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF HAP REGEN MEDICAMENT PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2991","description":"APPLICATION OF HAP REGEN MEDICAMENT PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":"2022","billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR FUL SEQ ALYS CHNG DELET DUPL XPNSJ INSJ VRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0230U","description":"AR FUL SEQ ALYS CHNG DELET DUPL XPNSJ INSJ VRNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS 1ST MOTOR THRESHOLD DETER 1ST TX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0890T","description":"ARHFCMRIGTBS 1ST MOTOR THRESHOLD DETER 1ST TX D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS SBSQ MOTOR THRESHLD REDETER PR TX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0892T","description":"ARHFCMRIGTBS SBSQ MOTOR THRESHLD REDETER PR TX D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS SUBSEQUENT TREATMENT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0891T","description":"ARHFCMRIGTBS SUBSEQUENT TREATMENT DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4189","description":"ARTACENT AC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTFICL LARYNX REPLCMT BATTRY/ACCESS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8505","description":"ARTFICL LARYNX REPLCMT BATTRY/ACCESS ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7870","description":"ARTHROCENTESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JOINTS WITH AGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7566","description":"ARTHRODESIS INTERPHALANGEAL JOINTS WITH AGS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPJS W/WITHOUT INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7506","description":"ARTHRODESIS IPJS W/WITHOUT INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROEREISIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2117","description":"ARTHROEREISIS SUBTALAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4125","description":"ARTHROFLEX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7865","description":"ARTHROPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPE SHLDR SURG; W/THERML-INDUCD CPSLORR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2300","description":"ARTHROSCOPE SHLDR SURG; W/THERML-INDUCD CPSLORR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2112","description":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY-DIAGNOSIS WITH OR WITHOUT BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7872","description":"ARTHROSCOPY-DIAGNOSIS WITH OR WITHOUT BIOPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7877","description":"ARTHROSCOPY: DEBRIDEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: DISC REPOSITIONING  AND  STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7874","description":"ARTHROSCOPY: DISC REPOSITIONING  AND  STABILIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: DISCECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7876","description":"ARTHROSCOPY: DISCECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7873","description":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7875","description":"ARTHROSCOPY: SYNOVECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7860","description":"ARTHROTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP 1ST CARP/MTCRPL JT W/MTCRPL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1003T","description":"ARTHRP 1ST CARP/MTCRPL JT W/MTCRPL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTICAINE OPHTHALMIC 8 PCT  SOLUTION 0.4 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1098","description":"ARTICAINE OPHTHALMIC 8 PCT  SOLUTION 0.4 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1034","description":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58321","description":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-UTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58322","description":"ARTIFICIAL INSEMINATION INTRA-UTERINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL SALIVA 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9154","description":"ARTIFICIAL SALIVA 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4390","description":"ASCENDION PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.392,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTERLEUKIN-6 (IL-6)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83529","description":"ASSAY OF INTERLEUKIN-6 (IL-6)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT FOR HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5010","description":"ASSESSMENT FOR HEARING AID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT OF A PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0191","description":"ASSESSMENT OF A PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0419","description":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM ADPTR/BOOT CPLG RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5289","description":"ASSIST LIST DEVC PERS FM/DM ADPTR/BOOT CPLG RECV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM DIR AUDIO INPUT RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5285","description":"ASSIST LIST DEVC PERS FM/DM DIR AUDIO INPUT RECV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM NCK LOOP INDUCT RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5283","description":"ASSIST LIST DEVC PERS FM/DM NCK LOOP INDUCT RECV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM SYS BINAURL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5282","description":"ASSIST LIST DEVC PERS FM/DM SYS BINAURL ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM SYS MONAURL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5281","description":"ASSIST LIST DEVC PERS FM/DM SYS MONAURL ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVICE PERS FM/DM EAR LEVEL RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5284","description":"ASSIST LIST DEVICE PERS FM/DM EAR LEVEL RECEIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM/DM RECEIVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5286","description":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM/DM RECEIVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LISTEN DEVC PERS FM/DM TRANSMITTER ALD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5288","description":"ASSIST LISTEN DEVC PERS FM/DM TRANSMITTER ALD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5290","description":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTED LIVING WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2031","description":"ASSISTED LIVING WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTED OOCYTE FERTILIZATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4022","description":"ASSISTED OOCYTE FERTILIZATION CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LEARNING DEVICE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5274","description":"ASSISTIVE LEARNING DEVICE NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LISTENING DEVC PERS FM/DM RECEIVER NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5287","description":"ASSISTIVE LISTENING DEVC PERS FM/DM RECEIVER NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5269","description":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LISTENING DEVICE TDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5272","description":"ASSISTIVE LISTENING DEVICE TDD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89253","description":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD FERTILIZATION MICROTQ  GT  10 OOCYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89281","description":"ASSTD FERTILIZATION MICROTQ  GT  10 OOCYTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD FERTILIZATION MICROTQ  LT or equal to  10 OOCYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89280","description":"ASSTD FERTILIZATION MICROTQ  LT or equal to  10 OOCYTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5271","description":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5268","description":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5270","description":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVICE USE W/COCHLEAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5273","description":"ASSTIVE LISTENING DEVICE USE W/COCHLEAR IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV ALG ALYS ACOUS and ECG REC DETCJ CAR DYSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0962T","description":"ASSTV ALG ALYS ACOUS and ECG REC DETCJ CAR DYSF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV ALG CLASSIFICATION BRN HLG N-INVAS M-S IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0972T","description":"ASSTV ALG CLASSIFICATION BRN HLG N-INVAS M-S IMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9441","description":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA KIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8097","description":"ASTHMA KIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2787","description":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BODY TEMPERATURE MSR  GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BODY TEMPERATURE MSR  GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9773","description":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR  GT or equal to 35.5 DEGC NOT ACHV ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR  GT or equal to 35.5 DEGC NOT ACHV ANES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97171","description":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97169","description":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97170","description":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97172","description":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATM MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0136U","description":"ATM MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTENDANT CARE SERVICES; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5125","description":"ATTENDANT CARE SERVICES; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0062","description":"AUDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOMETRY FOR HEARING AID EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0618","description":"AUDIOMETRY FOR HEARING AID EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0731T","description":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD DATA PREP and TRNSMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0879T","description":"AUGMNT ALYS CH CT IMG DATA ILD DATA PREP and TRNSMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD PHYS/QHP I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0880T","description":"AUGMNT ALYS CH CT IMG DATA ILD PHYS/QHP I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0878T","description":"AUGMNT ALYS CH CT IMG DATA ILD W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD WO CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0877T","description":"AUGMNT ALYS CH CT IMG DATA ILD WO CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5914","description":"AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5927","description":"AURICULAR PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO ALYS BINOCULAR EYE MVMT ASSMT CONCUSSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0615T","description":"AUTO ALYS BINOCULAR EYE MVMT ASSMT CONCUSSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO ALYS XST CT VRT FX ASMT B1 DNS DATA PRP I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0691T","description":"AUTO ALYS XST CT VRT FX ASMT B1 DNS DATA PRP I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0264T","description":"AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0263T","description":"AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1592","description":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4273","description":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4283","description":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20936","description":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOIMMUN IBD MRNA GEN XPRSN PRFL 17 GEN WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0203U","description":"AUTOIMMUN IBD MRNA GEN XPRSN PRFL 17 GEN WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOIMMUNE RHEUMATOID ARTHRITIS ALYS 12 BMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81490","description":"AUTOIMMUNE RHEUMATOID ARTHRITIS ALYS 12 BMRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOINFLAM DS VEXAS SYND DNA UBA1 GENE MUT ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0500U","description":"AUTOINFLAM DS VEXAS SYND DNA UBA1 GENE MUT ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0565T","description":"AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0566T","description":"AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS MUSC CELL THER ADMN MUSC PROGEN CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1000T","description":"AUTOLOGOUS MUSC CELL THER ADMN MUSC PROGEN CELLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS MUSC CELL THER HRVG MUSC PROGEN CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0999T","description":"AUTOLOGOUS MUSC CELL THER HRVG MUSC PROGEN CELLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS MUSC CELL THER NJX MUSC PROGEN CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1001T","description":"AUTOLOGOUS MUSC CELL THER NJX MUSC PROGEN CELLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4384","description":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4383","description":"AXOLOTL GRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7500","description":"AZATHIOPRINE ORAL 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7500","description":"AZATHIOPRINE ORAL 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0144","description":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0144","description":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"B BRGDRFERI LD ANTIBODY DETECTION 26 RPRTN GRPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0615U","description":"B BRGDRFERI LD ANTIBODY DETECTION 26 RPRTN GRPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B BRGDRFERI LD ANTIBODY DETECTION 31 RPRTN GRPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0580U","description":"B BRGDRFERI LD ANTIBODY DETECTION 31 RPRTN GRPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B BURGDORFERI ANTB 12 PRTN GRP IMMUNOBLOT IGG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0042U","description":"B BURGDORFERI ANTB 12 PRTN GRP IMMUNOBLOT IGG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B BURGDORFERI ANTB 5 PRTN GRP IMMUNOBLOT IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0041U","description":"B BURGDORFERI ANTB 5 PRTN GRP IMMUNOBLOT IGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK SCHOOL PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9117","description":"BACK SCHOOL PER VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLISTOCARDIOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3902","description":"BALLISTOCARDIOGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61630","description":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BAND STABILIZATION-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2976","description":"BAND STABILIZATION-PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE MRS  GT  2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1236","description":"BASELINE MRS  GT  2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC LIFE AND/OR DISABILITY EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99450","description":"BASIC LIFE AND/OR DISABILITY EXAMINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1550","description":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATHTUB RAIL FLOOR BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0242","description":"BATHTUB RAIL FLOOR BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATHTUB WALL RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0241","description":"BATHTUB WALL RAIL EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCAT1 and IKZF1 PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0229U","description":"BCAT1 and IKZF1 PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 GENE TLCJ ALYS MAJOR BP QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0040U","description":"BCR/ABL1 GENE TLCJ ALYS MAJOR BP QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0696T","description":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0695T","description":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM IMPLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECAPLERMIN GEL 0.01 PCT  0.5 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0157","description":"BECAPLERMIN GEL 0.01 PCT  0.5 GM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECAPLERMIN GEL 0.01 PCT  0.5 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0157","description":"BECAPLERMIN GEL 0.01 PCT  0.5 GM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0315","description":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED BOARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0273","description":"BED BOARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED PAN FRACTURE METAL OR PLASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0276","description":"BED PAN FRACTURE METAL OR PLASTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED PAN STANDARD METAL OR PLASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0275","description":"BED PAN STANDARD METAL OR PLASTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97152","description":"BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0362T","description":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0362T","description":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR MANAGEMENT BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9920","description":"BEHAVIOR MANAGEMENT BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9887","description":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9886","description":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG FOR DIABETES PREV ONLINE 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9871","description":"BEHAVIORAL CNSLG FOR DIABETES PREV ONLINE 60 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL VERIFICATION OF AMPLIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92638","description":"BEHAVIORAL VERIFICATION OF AMPLIFICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"BENESCH BOOT PAIR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3213","description":"BENESCH BOOT PAIR CHILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BENESCH BOOT PAIR INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3212","description":"BENESCH BOOT PAIR INFANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BENESCH BOOT PAIR JUNIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3214","description":"BENESCH BOOT PAIR JUNIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER TX LVEF  LT 40 PCT  NOT PRSCR RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKER TX LVEF  LT 40 PCT  NOT PRSCR RSN DOC CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0002","description":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0002","description":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH; LONG-TERM RES W/O ROOM and BOARD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0019","description":"BHVAL HEALTH; LONG-TERM RES W/O ROOM and BOARD-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH; SHORT-TERM RES W/O ROOM and BOARD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0018","description":"BHVAL HEALTH; SHORT-TERM RES W/O ROOM and BOARD-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIA WHOLE BODY COMPOSITION ASSESSMENT W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0358T","description":"BIA WHOLE BODY COMPOSITION ASSESSMENT W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL VISION PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0506","description":"BIFOCAL VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOBRANE GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2044","description":"BIOBRANE GLOVE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2043","description":"BIOBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOFEEDBACK TRAINING ANY MODALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90901","description":"BIOFEEDBACK TRAINING ANY MODALITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOL MATL AID SOFT  and  OSSEOUS TISS REGEN PER SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4265","description":"BIOL MATL AID SOFT  and  OSSEOUS TISS REGEN PER SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3431","description":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4418","description":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4419","description":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4421","description":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4423","description":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF ORAL TISSUE HARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7285","description":"BIOPSY OF ORAL TISSUE HARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF ORAL TISSUE SOFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7286","description":"BIOPSY OF ORAL TISSUE SOFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9442","description":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93702","description":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWING - SINGLE RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0270","description":"BITEWING - SINGLE RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0274","description":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWINGS - THREE RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0273","description":"BITEWINGS - THREE RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWINGS - TWO RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0272","description":"BITEWINGS - TWO RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1130F","description":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1130F","description":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PROC NYHA CLS II/III HF/CCS CLS III/IV CRA;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9782","description":"BLD PROC NYHA CLS II/III HF/CCS CLS III/IV CRA;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15820","description":"BLEPHAROPLASTY LOWER EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15822","description":"BLEPHAROPLASTY UPPER EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15822","description":"BLEPHAROPLASTY UPPER EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2000","description":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLINDED PROC TC IMP CS RD DVCE/PLACEBO CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9783","description":"BLINDED PROC TC IMP CS RD DVCE/PLACEBO CONTROL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4770","description":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COMPONENT OR PRODUCT NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9099","description":"BLOOD COMPONENT OR PRODUCT NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0412","description":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4772","description":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1560","description":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1281","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1620","description":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TUBING ART AND VENOUS COMBINED HEMODIALYSIS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4755","description":"BLOOD TUBING ART AND VENOUS COMBINED HEMODIALYSIS EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4750","description":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4750","description":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86911","description":"BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING PATERNITY PR INDIV ABO RH AND MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86910","description":"BLOOD TYPING PATERNITY PR INDIV ABO RH AND MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1287","description":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8418","description":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8418","description":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1286","description":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1276","description":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1296","description":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1293","description":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2181","description":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2181","description":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1297","description":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1314","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT and COMP;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2150","description":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT and COMP;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6104","description":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6103","description":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3429","description":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT W/PERIRADICULAR SURG PER TOOTH 1 SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3428","description":"BONE GRAFT W/PERIRADICULAR SURG PER TOOTH 1 SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0265T","description":"BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4264","description":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4263","description":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE REPLCMT GRAFT RIDGE PRESERVATION  PER SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7953","description":"BONE REPLCMT GRAFT RIDGE PRESERVATION  PER SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BORRELIA BURGDORFERI LYME DS OSPA PRTN EVAL UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0316U","description":"BORRELIA BURGDORFERI LYME DS OSPA PRTN EVAL UR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM ANTITOXIN EQUINE ANY ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90287","description":"BOTULINUM ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.51,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90288","description":"BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR BY VAS W/I 3 MOS PRE  and  AT 3 MOS P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9943","description":"BP NOT MSR BY VAS W/I 3 MOS PRE  and  AT 3 MOS P/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR BY VAS W/I 3 MOS PREOP  and  AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9946","description":"BP NOT MSR BY VAS W/I 3 MOS PREOP  and  AT 1 YR P/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP  and  AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP  and  AT 1 YR P/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP  and  AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP  and  AT 1 YR P/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9943","description":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9943","description":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2637","description":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET PERFUSION EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78609","description":"BRAIN IMAGING PET PERFUSION EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0138U","description":"BRCA1 BRCA2 MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2068","description":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF 20 MINUTES IN HOME VISIT NEW PT POST DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2001","description":"BRIEF 20 MINUTES IN HOME VISIT NEW PT POST DC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF 20 MINUTES IN-HOME VISIT EXIST PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2006","description":"BRIEF 20 MINUTES IN-HOME VISIT EXIST PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF CARE MANAGEMENT HOME VISIT FOR EXISTING PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0081","description":"BRIEF CARE MANAGEMENT HOME VISIT FOR EXISTING PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF CARE MANAGEMENT HOME VISIT NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0076","description":"BRIEF CARE MANAGEMENT HOME VISIT NEW PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0443","description":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCH RGD/FLEX NON THRM TRANSBRON ABL LES PEF E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8005","description":"BRONCH RGD/FLEX NON THRM TRANSBRON ABL LES PEF E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCH RIFL W/BAL and  TRNSEN EBUS DX/TX LES FL W/PF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7556","description":"BRONCH RIFL W/BAL and  TRNSEN EBUS DX/TX LES FL W/PF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7511","description":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7567","description":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY RGD/FLEX BRON ALV LAVAGE CA IG NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7510","description":"BRONCHOSCOPY RGD/FLEX BRON ALV LAVAGE CA IG NAV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY RGD/FLEX DX CW WHEN PERF CA IG NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7509","description":"BRONCHOSCOPY RGD/FLEX DX CW WHEN PERF CA IG NAV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY TRANSENDO EBUS DUR BRONCHOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7512","description":"BRONCHOSCOPY TRANSENDO EBUS DUR BRONCHOSCOPIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7288","description":"BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUCCAL/LABIAL FRENECTOMY FRENULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7961","description":"BUCCAL/LABIAL FRENECTOMY FRENULECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.75,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.75,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.43,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.42,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0012","description":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX OOCYTE MICROTQ  GT 5 EMBRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89291","description":"BX OOCYTE MICROTQ  GT 5 EMBRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX OOCYTE POLR BDY/EMBRY BLST MICROTQ  LT or equal to  5 E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89290","description":"BX OOCYTE POLR BDY/EMBRY BLST MICROTQ  LT or equal to  5 E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0255","description":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C DIFF TOXIN ANTIGEN DETCJ IA TECH STOOL QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0107U","description":"C DIFF TOXIN ANTIGEN DETCJ IA TECH STOOL QUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CA VI PSP and SP1 ANTB ELISA SEMIQL BLD SJOGREN SYND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0472U","description":"CA VI PSP and SP1 ANTB ELISA SEMIQL BLD SJOGREN SYND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CA VI PSP and SP1 IGG IGM and IGA ANTB IA SEMIQL BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0522U","description":"CA VI PSP and SP1 IGG IGM and IGA ANTB IA SEMIQL BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A FUL GEN ALY CHNG DELT DUP XPNSJ INSJ VRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0231U","description":"CACNA1A FUL GEN ALY CHNG DELT DUP XPNSJ INSJ VRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0174T","description":"CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0175T","description":"CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITRIOL 0.25 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0169","description":"CALCITRIOL 0.25 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1364","description":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST EACH IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92533","description":"CALORIC VESTIBULAR TEST EACH IRRIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"CAMISOLE POST-MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8460","description":"CAMISOLE POST-MASTECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANAL PREPARATION and FITTING PREFORMED DOWEL/POST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3950","description":"CANAL PREPARATION and FITTING PREFORMED DOWEL/POST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCELLED APPOINTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9987","description":"CANCELLED APPOINTMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANDIDA SPECIES PANEL AMP PRB TQ W/QUAL REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0068U","description":"CANDIDA SPECIES PANEL AMP PRB TQ W/QUAL REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULA NASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4615","description":"CANNULA NASAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CANNULA NASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4615","description":"CANNULA NASAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0894T","description":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4283","description":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8 PCT  PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7336","description":"CAPSAICIN 8 PCT  PATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8 PCT  PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7336","description":"CAPSAICIN 8 PCT  PATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0449U","description":"CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94780","description":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7340","description":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7340","description":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDPA 5 MG/LEVODPA 20 MG EN SUSP 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7340","description":"CARBIDPA 5 MG/LEVODPA 20 MG EN SUSP 100 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD HRT TRNSPL 96 TARGET DNA SEQUENCES PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0055U","description":"CARD HRT TRNSPL 96 TARGET DNA SEQUENCES PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD HRT TRNSPL MRNA GEN XPRS PRFL 1283 GENE ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0087U","description":"CARD HRT TRNSPL MRNA GEN XPRS PRFL 1283 GENE ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9472","description":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0716T","description":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC ION CHANNELOPATHIES GENOMIC SEQ ALYS PNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0237U","description":"CARDIAC ION CHANNELOPATHIES GENOMIC SEQ ALYS PNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOKYMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0035","description":"CARDIOKYMOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY CERAMIDES LIQ CHROM TANDEM MS PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0119U","description":"CARDIOLOGY CERAMIDES LIQ CHROM TANDEM MS PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81595","description":"CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0063","description":"CARDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MANAGEMENT SRVC BH COND AL 20 MIN PER CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0323","description":"CARE MANAGEMENT SRVC BH COND AL 20 MIN PER CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MGMT SERVICES BEHAV HEALTH COND PER CA MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0570","description":"CARE MGMT SERVICES BEHAV HEALTH COND PER CA MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99484","description":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0540","description":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0539","description":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0541","description":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0542","description":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1355","description":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES RISK ASSESSMENT  AND  DOC FINDING HIGH RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0603","description":"CARIES RISK ASSESSMENT  AND  DOC FINDING HIGH RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES RISK ASSESSMENT  AND  DOC FINDING LOW RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0601","description":"CARIES RISK ASSESSMENT  AND  DOC FINDING LOW RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES RISK ASSESSMENT  AND  DOC FINDING MOD RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0602","description":"CARIES RISK ASSESSMENT  AND  DOC FINDING MOD RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES SUSCEPTIBILITY TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0425","description":"CARIES SUSCEPTIBILITY TESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASE PRESENTATION SUBS DTL  and  EXTENSIVE TX PLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9450","description":"CASE PRESENTATION SUBS DTL  and  EXTENSIVE TX PLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58340","description":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58340","description":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1886","description":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL CA CAG W/INJ CAG S and I LT HC W/INJ LT VNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7557","description":"CATH PL CA CAG W/INJ CAG S and I LT HC W/INJ LT VNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL COR A LHC IV DV and /P DRVD CFR MSMT DUR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7524","description":"CATH PL COR A LHC IV DV and /P DRVD CFR MSMT DUR CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL COR ART CA LHC CATH PL BPG WITH BPG AG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7526","description":"CATH PL COR ART CA LHC CATH PL BPG WITH BPG AG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL COR ART CA RT and LHC IV DV and /P DERV CFR MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7528","description":"CATH PL COR ART CA RT and LHC IV DV and /P DERV CFR MSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLC COR ART EL IMG INIT COR VES/GR IVUS/OCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7516","description":"CATH PLC COR ART EL IMG INIT COR VES/GR IVUS/OCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT  COR ART CA RT and LHC PLCMNT BPG ANGIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7529","description":"CATH PLCMNT  COR ART CA RT and LHC PLCMNT BPG ANGIO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART CA RT and LHC DX EVAL and /THER INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7527","description":"CATH PLCMNT COR ART CA RT and LHC DX EVAL and /THER INT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART ILIAC  and / FEM ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7517","description":"CATH PLCMNT COR ART ILIAC  and / FEM ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART LHC EL IMAG INIT COR VES/GR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7523","description":"CATH PLCMNT COR ART LHC EL IMAG INIT COR VES/GR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART RHC EL IMG INIT COR VES/GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7521","description":"CATH PLCMNT COR ART RHC EL IMG INIT COR VES/GRFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER FOR CORONARY ANGIO W/COR FLOW RSV MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7568","description":"CATHETER FOR CORONARY ANGIO W/COR FLOW RSV MEAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER HEMODIALYSIS SHORT-TERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1752","description":"CATHETER HEMODIALYSIS SHORT-TERM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INTRAVASCULA FOR RENAL DENERVATION U/S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1736","description":"CATHETER INTRAVASCULA FOR RENAL DENERVATION U/S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INTRAVASCULAR FOR RENAL DNV RADIOFREQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1735","description":"CATHETER INTRAVASCULAR FOR RENAL DNV RADIOFREQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PL IN COR ART COR ANGIO FFR W/3D MAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7570","description":"CATHETER PL IN COR ART COR ANGIO FFR W/3D MAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLACEMENT COR ART CA; CATH PLCMNT BPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7552","description":"CATHETER PLACEMENT COR ART CA; CATH PLCMNT BPG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLACEMENT CORONARY ARTERY RHC IV DV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7522","description":"CATHETER PLACEMENT CORONARY ARTERY RHC IV DV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMNT COR ART CA LHC DUR DX EVAL  and / TI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7525","description":"CATHETER PLCMNT COR ART CA LHC DUR DX EVAL  and / TI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMNT COR ART CATH PLCMNT BPG DUR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7519","description":"CATHETER PLCMNT COR ART CATH PLCMNT BPG DUR CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMNT COR ART CATH PLCMNT BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7518","description":"CATHETER PLCMNT COR ART CATH PLCMNT BYPASS GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMT COR ART; RT  and  LT HEART CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7553","description":"CATHETER PLCMT COR ART; RT  and  LT HEART CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMT CRNRY ART FOR CRNRY ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7562","description":"CATHETER PLCMT CRNRY ART FOR CRNRY ANGIOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUM INTRAVASC LES PREP DEV BLAD SH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1600","description":"CATHETER TRANSLUM INTRAVASC LES PREP DEV BLAD SH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUMINAL DRUG DELY AP COR NONLASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9610","description":"CATHETER TRANSLUMINAL DRUG DELY AP COR NONLASER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9615","description":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53866","description":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3496F","description":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3494F","description":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3494F","description":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3495F","description":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3495F","description":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3498F","description":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3498F","description":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3497F","description":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3497F","description":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDTB  and  VINCULIN IGG ANTIBODIES BY IMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0176U","description":"CDTB  and  VINCULIN IGG ANTIBODIES BY IMMUNOASSAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID FLUID SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86152","description":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID FLUID SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID PHYS INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86153","description":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID PHYS INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4185","description":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0075","description":"CELLULAR THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRIFUGE FOR DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1500","description":"CENTRIFUGE FOR DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEP72 NUDT15 and TPMT GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0286U","description":"CEP72 NUDT15 and TPMT GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALIN FLOCCULATION BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P2028","description":"CEPHALIN FLOCCULATION BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTI TRANSL/SIGN-LANG SERVICES PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9990","description":"CERTI TRANSL/SIGN-LANG SERVICES PER VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0064","description":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL HEAD HARNESS/HALTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0942","description":"CERVICAL HEAD HARNESS/HALTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92517","description":"CERVICAL VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CES SYSTEM SUPPLIES  and  ACCESSORIES PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4596","description":"CES SYSTEM SUPPLIES  and  ACCESSORIES PER MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9438","description":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CGH MICROARRAY TEST DD ASD  and /OR INTELL DISABILTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3870","description":"CGH MICROARRAY TEST DD ASD  and /OR INTELL DISABILTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE URETEROSTOMY TUBE/EXT ACCESSIBLE URS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7549","description":"CHANGE URETEROSTOMY TUBE/EXT ACCESSIBLE URS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0083","description":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2340","description":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2341","description":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHAPY ADMN BOTH INFUS TECH AND OTH TECHIQUE-VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0085","description":"CHEMOTHAPY ADMN BOTH INFUS TECH AND OTH TECHIQUE-VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0084","description":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0498","description":"CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIKUNGUNYA VIRUS VACCINE LIVE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90589","description":"CHIKUNGUNYA VIRUS VACCINE LIVE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIKUNGUNYA VIRUS VACCINE RECOMBINANT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90593","description":"CHIKUNGUNYA VIRUS VACCINE RECOMBINANT FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIKUNGUNYA VIRUS VACCINE RECOMBINANT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90593","description":"CHIKUNGUNYA VIRUS VACCINE RECOMBINANT FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9437","description":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81268","description":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81267","description":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0065","description":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMBUCIL ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0172","description":"CHLORAMBUCIL ORAL 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMBUCIL ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0172","description":"CHLORAMBUCIL ORAL 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90625","description":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90625","description":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORE SERVICES; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5120","description":"CHORE SERVICES; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORE SERVICES; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5121","description":"CHORE SERVICES; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIOFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4412","description":"CHORIOFIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4359","description":"CHORIPLY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4359","description":"CHORIPLY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTUBATION OVIDUCT W/MATERIALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58350","description":"CHROMOTUBATION OVIDUCT W/MATERIALS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99490","description":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9933","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9932","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9935","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9934","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING AND INSPECTION OCCLUSAL GUARD PER APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9936","description":"CLEANING AND INSPECTION OCCLUSAL GUARD PER APPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9970","description":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9970","description":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0045","description":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0046","description":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1015","description":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL CROWN LENGTHENING - HARD TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4249","description":"CLINICAL CROWN LENGTHENING - HARD TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0066","description":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0038","description":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED REDUCTION OF DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7820","description":"CLOSED REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.008,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE OF SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7983","description":"CLOSURE OF SALIVARY FISTULA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMGCODE-Guillian Barre with","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1901","description":"CMGCODE-Guillian Barre with","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMGCODE-Guillian Barre with","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1902","description":"CMGCODE-Guillian Barre with","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMGCODE-Guillian Barre with","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1903","description":"CMGCODE-Guillian Barre with","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMNCT BD NON-ELEC AUG/ALTERNATV CMNCT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1902","description":"CMNCT BD NON-ELEC AUG/ALTERNATV CMNCT DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4013","description":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4014","description":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4015","description":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPRTV DNA ALYS MLT SNPS UR AND BUCCAL SPEC ID VERIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0079U","description":"CMPRTV DNA ALYS MLT SNPS UR AND BUCCAL SPEC ID VERIF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRAIN IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9762","description":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRAIN IMAG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRESS IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9763","description":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRESS IMAG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9490","description":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1265","description":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL ORAL BEHAV  and  SYS HLTH EFF HI-RISK SUBST USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1321","description":"CNSL ORAL BEHAV  and  SYS HLTH EFF HI-RISK SUBST USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO GNOTYP GENE ANALYSIS AQP1 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0181U","description":"CO GNOTYP GENE ANALYSIS AQP1 EXON 1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85397","description":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX FLOWABLE AMNION PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4230","description":"COGENEX FLOWABLE AMNION PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2036","description":"COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0142","description":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL  and  PREP OF SALIVA SAMPLE LABORATORY ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0417","description":"COLL  and  PREP OF SALIVA SAMPLE LABORATORY ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0428","description":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL V BLD VP/URN SMP CATH IND SNF/LAB BHALF HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0471","description":"COLL V BLD VP/URN SMP CATH IND SNF/LAB BHALF HHA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9355","description":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION  AND  APPLIC AUTO BLOOD CONCENTRATE PROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7921","description":"COLLECTION  AND  APPLIC AUTO BLOOD CONCENTRATE PROD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION  AND  PREPARATION OF GENETIC SAMPLE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0422","description":"COLLECTION  AND  PREPARATION OF GENETIC SAMPLE MATL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION MICROORGANISMS CULTURE  AND  SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0415","description":"COLLECTION MICROORGANISMS CULTURE  AND  SENSITIVITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0322","description":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION PREP  and  ANALYSIS OF SALIVA SAMPLE POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0426","description":"COLLECTION PREP  and  ANALYSIS OF SALIVA SAMPLE POC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9361","description":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0736T","description":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0285","description":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOR CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0514","description":"COLOR CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1315","description":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1277","description":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0327","description":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX 1ST TNDSC DILAT RX BALO CATH CLN STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0885T","description":"COLSC FLX 1ST TNDSC DILAT RX BALO CATH CLN STRIX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMA STIMULATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9056","description":"COMA STIMULATION PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB CNCTIVE TISSUE  and  PEDICLE GRAFT PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4276","description":"COMB CNCTIVE TISSUE  and  PEDICLE GRAFT PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMBINATION WHL WALKER W/SEAT  and  TRANSPORT CHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0150","description":"COMBINATION WHL WALKER W/SEAT  and  TRANSPORT CHAIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMISSURE SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5987","description":"COMMISSURE SPLINT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP 60 MINS IN-HOME VISIT EXIST PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2009","description":"COMP 60 MINS IN-HOME VISIT EXIST PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP 60 MINUTES IN-HOME VISIT NEW PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2004","description":"COMP 60 MINUTES IN-HOME VISIT NEW PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ASMT OF  AND  CARE PLNG PT RQR CC MGMT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0506","description":"COMP ASMT OF  AND  CARE PLNG PT RQR CC MGMT SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3865","description":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP GERIATRIC ASSESS AND TX PLAN PRFRM ASSESS TEAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0250","description":"COMP GERIATRIC ASSESS AND TX PLAN PRFRM ASSESS TEAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP MGMT  AND  CARE COORD ADVANCED ILL PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0311","description":"COMP MGMT  AND  CARE COORD ADVANCED ILL PER CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ORAL EVALUATION - NEW/ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0150","description":"COMP ORAL EVALUATION - NEW/ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ORTHODONTIC TX TRANSITIONAL DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8070","description":"COMP ORTHODONTIC TX TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PERIODONTAL EVALUATION - NEW/EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0180","description":"COMP PERIODONTAL EVALUATION - NEW/EST PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPACT TRAVEL HEMODIALYZER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1635","description":"COMPACT TRAVEL HEMODIALYZER SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPANION CARE ADULT ; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5135","description":"COMPANION CARE ADULT ; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPANION CARE ADULT ; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5136","description":"COMPANION CARE ADULT ; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81266","description":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5120","description":"COMPLETE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5110","description":"COMPLETE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE OPHTHALMOLOGIC CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1420","description":"COMPLETE OPHTHALMOLOGIC CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99487","description":"COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8950","description":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLICATED SUTURE-GREATER THAN 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7912","description":"COMPLICATED SUTURE-GREATER THAN 5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLICATED SUTURE-UP TO 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7911","description":"COMPLICATED SUTURE-UP TO 5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6205","description":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6205","description":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7999","description":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7999","description":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOM THRESHOLD EVAL  AND  SPEECH RECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0212T","description":"COMPRE AUDIOM THRESHOLD EVAL  AND  SPEECH RECOG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE FUL BDY CPTR MRKRLS 3D KNMTC and KIN MTN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0693T","description":"COMPRE FUL BDY CPTR MRKRLS 3D KNMTC and KIN MTN ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE 60 MINS HOME CARE PLAN OVERSIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2015","description":"COMPREHENSIVE 60 MINS HOME CARE PLAN OVERSIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE CARE MGMT HOME CARE PLAN OVERSIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0087","description":"COMPREHENSIVE CARE MGMT HOME CARE PLAN OVERSIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE CARE MGMT HOME VISIT FOR XST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0084","description":"COMPREHENSIVE CARE MGMT HOME VISIT FOR XST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE CARE MGMT HOME VISIT NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0079","description":"COMPREHENSIVE CARE MGMT HOME VISIT NEW PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE CONTACT LENS EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0592","description":"COMPREHENSIVE CONTACT LENS EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2010","description":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8080","description":"COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE ORTHODONTIC TX ADULT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8090","description":"COMPREHENSIVE ORTHODONTIC TX ADULT DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE ORTHODONTIC TX ORTHOGNATHIC SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8091","description":"COMPREHENSIVE ORTHODONTIC TX ORTHOGNATHIC SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION BANDAGE ROLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8431","description":"COMPRESSION BANDAGE ROLL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMS THERAPY WND ASSMT and DR 1ST APPL  LT or equal to 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0906T","description":"COMS THERAPY WND ASSMT and DR 1ST APPL  LT or equal to 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMS THERAPY WND ASSMT and DR EA ADDL APPL LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0907T","description":"COMS THERAPY WND ASSMT and DR EA ADDL APPL LT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMT GENE ANALYSIS C.472G GT A VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0032U","description":"COMT GENE ANALYSIS C.472G GT A VARIANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7840","description":"CONDYLECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAP AND INT FD VW 1 FULL DENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0365","description":"CONE BEAM CT CAP AND INT FD VW 1 FULL DENT ARCH-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAP and INTEPR LTD FD VIEW- LT 1 WHOLE JAW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0364","description":"CONE BEAM CT CAP and INTEPR LTD FD VIEW- LT 1 WHOLE JAW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAP and INTEPR TMJ SERIES 2 OR GT  EXPOSURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0368","description":"CONE BEAM CT CAP and INTEPR TMJ SERIES 2 OR GT  EXPOSURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAPTURE  AND  INTERP FD VIEW BOTH JAWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0367","description":"CONE BEAM CT CAPTURE  AND  INTERP FD VIEW BOTH JAWS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0382","description":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAG CAP TMJ SERIES 2 OR GT  EXPOSURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0384","description":"CONE BEAM CT IMAG CAP TMJ SERIES 2 OR GT  EXPOSURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAG CAP W/LTD FD VIEW- LT 1 WHOLE JAW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0380","description":"CONE BEAM CT IMAG CAP W/LTD FD VIEW- LT 1 WHOLE JAW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0383","description":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BM CT CAP AND INT FD VIEW 1 FULL DENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0366","description":"CONE BM CT CAP AND INT FD VIEW 1 FULL DENT ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0381","description":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6443","description":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6443","description":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6446","description":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6446","description":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6445","description":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6445","description":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6443","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6445","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6446","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMITY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5020","description":"CONFORMITY EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONGO RED BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P2029","description":"CONGO RED BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6055","description":"CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTIVE TISSUE HUMAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1762","description":"CONNECTIVE TISSUE HUMAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTOR BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6920","description":"CONNECTOR BAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0895T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0896T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76140","description":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULT DX SERV DENT/PHY NOT REQUESTING DENT/PHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9310","description":"CONSULT DX SERV DENT/PHY NOT REQUESTING DENT/PHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULT INCL PREP SLIDES BX MATL SPL REF SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0485","description":"CONSULT INCL PREP SLIDES BX MATL SPL REF SRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION ON SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0484","description":"CONSULTATION ON SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9311","description":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT ANES ECHO COND CATH SET NON-OPIOID MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9814","description":"CONT ANES ECHO COND CATH SET NON-OPIOID MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0820T","description":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0821T","description":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 2ND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0822T","description":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY STAFF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1031","description":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1030","description":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2525","description":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE IUD INCLUDING IMPLANTS AND SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4989","description":"CONTRACEPTIVE IUD INCLUDING IMPLANTS AND SUPPLIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACTS REPAIR AND MAINTENANCE HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4890","description":"CONTRACTS REPAIR AND MAINTENANCE HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL UNIT ELEC BOWEL IRRIGATION/EVAC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0350","description":"CONTROL UNIT ELEC BOWEL IRRIGATION/EVAC SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVRT NEPHROSTMY CATH TO NEPHROURETRL CATH PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7547","description":"CONVRT NEPHROSTMY CATH TO NEPHROURETRL CATH PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD STROKE PREV CULTIVT  Plus OUTCOM MIPS VAL PATHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0054","description":"COORD STROKE PREV CULTIVT  Plus OUTCOM MIPS VAL PATHW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE AND/REF SRV; EA ADD 30 MIN SRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0534","description":"COORDINATED CARE AND/REF SRV; EA ADD 30 MIN SRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2975","description":"COPING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPY NUMBER SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0156U","description":"COPY NUMBER SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COR ART DISEASE MRNA GENE EXPRESSION 23 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81493","description":"COR ART DISEASE MRNA GENE EXPRESSION 23 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2142","description":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2140","description":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2950","description":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4240","description":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONECTOMY-INTEN PRTL TOOTH RMVL IMP TEETH ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7251","description":"CORONECTOMY-INTEN PRTL TOOTH RMVL IMP TEETH ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7991","description":"CORONOIDECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX P OR THERACOR P OR ALLACOR P PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2035","description":"CORPLEX P OR THERACOR P OR ALLACOR P PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28295","description":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.7,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7297","description":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7296","description":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COVID-19 vaccine home admin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"COVID-19 vaccine home admin","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99489","description":"CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPM and TX MO BDL REQ INIT FTF AL 30 M; 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G3002","description":"CPM and TX MO BDL REQ INIT FTF AL 30 M; 1ST 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0055T","description":"CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0054T","description":"CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH ALYS MONOCULAR EYE MVMT RTA EYE TRCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1010T","description":"CPTRIZD OPH ALYS MONOCULAR EYE MVMT RTA EYE TRCK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0732","description":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5924","description":"CRANIAL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRD CAD ALYS 3 PRTN 3 CLIN PARAM PLSM OBSTR  CAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0308U","description":"CRD CAD ALYS 3 PRTN 3 CLIN PARAM PLSM OBSTR  CAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRD CAD DNA GWAS 564856 SNP TRGT VARIANT GNOTYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0466U","description":"CRD CAD DNA GWAS 564856 SNP TRGT VARIANT GNOTYP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRD CV DS ALYS 4 PRTN PLSM ALG RSK MAJ CAR EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0309U","description":"CRD CV DS ALYS 4 PRTN PLSM ALG RSK MAJ CAR EVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROM GNOTYP GENE ANALYSIS CD55 EXONS 1-10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0182U","description":"CROM GNOTYP GENE ANALYSIS CD55 EXONS 1-10","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - 3/4 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2780","description":"CROWN - 3/4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - 3/4 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2782","description":"CROWN - 3/4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - 3/4 CAST PREDOMINATELY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2781","description":"CROWN - 3/4 CAST PREDOMINATELY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - 3/4 PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2783","description":"CROWN - 3/4 PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - 3/4 RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2712","description":"CROWN - 3/4 RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - FULL CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2790","description":"CROWN - FULL CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - FULL CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2792","description":"CROWN - FULL CAST NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - FULL CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2791","description":"CROWN - FULL CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2751","description":"CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2750","description":"CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - PORCELAIN FUSED TO NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2752","description":"CROWN - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2753","description":"CROWN - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2740","description":"CROWN - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2720","description":"CROWN - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2722","description":"CROWN - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - RESIN WITH PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2721","description":"CROWN - RESIN WITH PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2710","description":"CROWN - RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2794","description":"CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2980","description":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0446T","description":"CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTX ORAL CAVITY TEMP REGULATED FLU COOLING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0881T","description":"CRTX ORAL CAVITY TEMP REGULATED FLU COOLING SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYO-CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4237","description":"CRYO-CORD PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYONEUROLYSIS NEEDLE NONOPIOID MEDICAL DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9809","description":"CRYONEUROLYSIS NEEDLE NONOPIOID MEDICAL DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVATION MATURE OOCYTE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89337","description":"CRYOPRESERVATION MATURE OOCYTE(S)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4037","description":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV EMBRYO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89258","description":"CRYOPRSRV EMBRYO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88240","description":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89335","description":"CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV SPRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89259","description":"CRYOPRSRV SPRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB FUL GEN ALY CHNG DELET DUPL XPNSJ INSJ VRNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0232U","description":"CSTB FUL GEN ALY CHNG DELET DUPL XPNSJ INSJ VRNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING BI WITH CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0637T","description":"CT BREAST W/3D RENDERING BI WITH CONTRAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING BI WITHOUT CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0636T","description":"CT BREAST W/3D RENDERING BI WITHOUT CONTRAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING UNI WITH CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0634T","description":"CT BREAST W/3D RENDERING UNI WITH CONTRAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING UNI WITHOUT CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0633T","description":"CT BREAST W/3D RENDERING UNI WITHOUT CONTRAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0638T","description":"CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BRST W/3D RENDERING UNI WO CNTRST FLWD CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0635T","description":"CT BRST W/3D RENDERING UNI WO CNTRST FLWD CNTRST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PL COR A CATH PL BPG AG IL and /FA AG NS BIL/IPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7520","description":"CT PL COR A CATH PL BPG AG IL and /FA AG NS BIL/IPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL OOCYTE/EMBRYO  LT  4 D CO-CULT OCYTE/EMBRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89251","description":"CUL OOCYTE/EMBRYO  LT  4 D CO-CULT OCYTE/EMBRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL OOCYTE/EMBRYO  LT 4 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89250","description":"CUL OOCYTE/EMBRYO  LT 4 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P7001","description":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87154","description":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87150","description":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87153","description":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4440","description":"CURAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8923","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8934","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT CIGARETTE SMOKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT CIGARETTE SMOKERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1316","description":"CURRENT TOBACCO NON-USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1150","description":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENTLY ON FIRST-LINE ICI WITHOUT CHEMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1411","description":"CURRENTLY ON FIRST-LINE ICI WITHOUT CHEMOTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRNT PERCEPT THRESHOLD/SNCT PER LIMB ANY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0255","description":"CURRNT PERCEPT THRESHOLD/SNCT PER LIMB ANY NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6057","description":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOMIZED ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1002","description":"CUSTOMIZED ITEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV ASCVD DNA MTHYLTN ALYS  GT 20000 SITES WHOLE BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0617U","description":"CV ASCVD DNA MTHYLTN ALYS  GT 20000 SITES WHOLE BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV DS HDL RCT CEC LC-MS/MS 5HDL-BD APO SERUM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0541U","description":"CV DS HDL RCT CEC LC-MS/MS 5HDL-BD APO SERUM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1258","description":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1257","description":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1594","description":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"CYCLOSPORINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DISK PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4362","description":"CYGNUS DISK PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4413","description":"CYGNUS SOLO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYMETRA INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4112","description":"CYMETRA INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP1A2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0031U","description":"CYP1A2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE ANALYSIS COMMON  AND  SELECT RARE VRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0070U","description":"CYP2D6 GENE ANALYSIS COMMON  AND  SELECT RARE VRNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0071U","description":"CYP2D6 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE TRGT SEQ ALYS 3' GENE DUPL/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0076U","description":"CYP2D6 GENE TRGT SEQ ALYS 3' GENE DUPL/MLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE TRGT SEQ ALYS 5' GENE DUPL/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0075U","description":"CYP2D6 GENE TRGT SEQ ALYS 5' GENE DUPL/MLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE TRGT SEQ ALYS CYP2D6-2D7 HYBRID GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0072U","description":"CYP2D6 GENE TRGT SEQ ALYS CYP2D6-2D7 HYBRID GENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE TRGT SEQ ALYS CYP2D7-2D6 HYBRID GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0073U","description":"CYP2D6 GENE TRGT SEQ ALYS CYP2D7-2D6 HYBRID GENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 TRGT SEQ ALYS NONDUP GENE DUPL/MLT TRANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0074U","description":"CYP2D6 TRGT SEQ ALYS NONDUP GENE DUPL/MLT TRANS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A4 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81230","description":"CYP3A4 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A5 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81231","description":"CYP3A5 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO 1ST TRURL ANT PRST8 COMIS NONRX BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52443","description":"CYSTO 1ST TRURL ANT PRST8 COMIS NONRX BALO CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FLX INSJ and XPNSJ PROSTATIC URTL SCAFFOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0941T","description":"CYSTO FLX INSJ and XPNSJ PROSTATIC URTL SCAFFOLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FLX REMOVAL PROSTATIC URETHRAL SCAFFOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0943T","description":"CYSTO FLX REMOVAL PROSTATIC URETHRAL SCAFFOLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FLX RMVL and RPLCMT PROSTATIC URTL SCAFFOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0942T","description":"CYSTO FLX RMVL and RPLCMT PROSTATIC URTL SCAFFOLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53865","description":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO LO-NRG LITHOTRP and ACOUS ACTUATED MICROSPHERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0991T","description":"CYSTO LO-NRG LITHOTRP and ACOUS ACTUATED MICROSPHERE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RNL PEL SYMPATHETIC DNRVTJ RF ABLTJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0935T","description":"CYSTO W/RNL PEL SYMPATHETIC DNRVTJ RF ABLTJ BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETERSCPY and /PYELSCPY;LASR TX URETRL CALC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2070","description":"CYSTO W/URETERSCPY and /PYELSCPY;LASR TX URETRL CALC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSC ADJTV BLU LGT CYSTO FLUOR IMG AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7554","description":"CYSTOURETHROSC ADJTV BLU LGT CYSTO FLUOR IMG AGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTURTHRSCPY BX ADJTV BLU LGT CYSTO FLUO IM AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7550","description":"CYSTURTHRSCPY BX ADJTV BLU LGT CYSTO FLUO IM AGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRML ABNOR INTEROG CPY NMBR VRNT OGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81354","description":"CYTOG ALYS CHRML ABNOR INTEROG CPY NMBR VRNT OGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG CONST ALYS INTERROG GEN REG F/COPY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0209U","description":"CYTOG CONST ALYS INTERROG GEN REG F/COPY NUMBER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT and CNV OGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81195","description":"CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT and CNV OGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90291","description":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88177","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88120","description":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88121","description":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cannula nasal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4615","description":"Cannula nasal","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0512","description":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK ADAPTATION XM W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DARK ADAPTATION XM W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SERVICES ADULT; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5100","description":"DAY CARE SERVICES ADULT; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SERVICES ADULT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5102","description":"DAY CARE SERVICES ADULT; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SERVICES ADULT; PER HALF DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5101","description":"DAY CARE SERVICES ADULT; PER HALF DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SRVC CENTER-BASED; SRVC NOT W/PROGM FEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5105","description":"DAY CARE SRVC CENTER-BASED; SRVC NOT W/PROGM FEE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64728","description":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBR AND OSS CNTR PERIIMPL DFCT;SURF AND FLAP ENTRY AND CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6102","description":"DEBR AND OSS CNTR PERIIMPL DFCT;SURF AND FLAP ENTRY AND CL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBR BN 1ST 20 SQ CM OR GT  M PREP  and  INS D RX-DEL DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7500","description":"DEBR BN 1ST 20 SQ CM OR GT  M PREP  and  INS D RX-DEL DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6101","description":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0475","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMP PERQ INTERVERT DISC RF ENERGY 1/MX LUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2348","description":"DECOMP PERQ INTERVERT DISC RF ENERGY 1/MX LUMB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEIONIZER WATER PURIFICATION SYSTEM HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1615","description":"DEIONIZER WATER PURIFICATION SYSTEM HEMODIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEL/SRVC HI RISK REQ ESCORT/EXTRA PROTECT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9381","description":"DEL/SRVC HI RISK REQ ESCORT/EXTRA PROTECT VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1600","description":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY AT  LT  39 WEEKS OF GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1444","description":"DELIVERY AT  LT  39 WEEKS OF GESTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE ITEM PATIENT AWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1001","description":"DELUXE ITEM PATIENT AWARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE LENS FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2702","description":"DELUXE LENS FEATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0248","description":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90584","description":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90584","description":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90587","description":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90587","description":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - CARE COORDINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9992","description":"DENTAL CASE MANAGEMENT - CARE COORDINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - CARE COORDINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9992","description":"DENTAL CASE MANAGEMENT - CARE COORDINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9993","description":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9991","description":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9994","description":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9997","description":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTISTRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0067","description":"DENTISTRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPART VETERANS AFFAIR WHOLE HEALTH PARTNER SERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9004","description":"DEPART VETERANS AFFAIR WHOLE HEALTH PARTNER SERV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESS ANXIETY APATHY  and  PSYCHOSIS NOT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2122","description":"DEPRESS ANXIETY APATHY  and  PSYCHOSIS NOT ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0429","description":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9358","description":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5  CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9360","description":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5  CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4429","description":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4426","description":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACLL DERMACLL AWM/DERMACLL AWM POROUS P SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4122","description":"DERMACLL DERMACLL AWM/DERMACLL AWM POROUS P SC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMATOLOGICAL CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1421","description":"DERMATOLOGICAL CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4000","description":"DERMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN  LT  1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN  LT  1 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN  LT  1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN  LT  1 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION PHYSICAL/CHEM METHOD BY REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7465","description":"DESTRUCTION LESION PHYSICAL/CHEM METHOD BY REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETAILED AND EXT ORAL EVAL PROB FOCUS BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0160","description":"DETAILED AND EXT ORAL EVAL PROB FOCUS BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETECTION CORONARY ART CALCIUM and /AV CALC W RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0680","description":"DETECTION CORONARY ART CALCIUM and /AV CALC W RPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION OF VENOUS PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93770","description":"DETERMINATION OF VENOUS PRESSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.03,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0451","description":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8541","description":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXTROAMPHETAMINE SULFATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0160","description":"DEXTROAMPHETAMINE SULFATE 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP CERVICAL OR VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0831T","description":"DGTZ GLASS MCRSCP SLD CYTP CERVICAL OR VAGINAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP CONCTRJ TQ SMR and INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0829T","description":"DGTZ GLASS MCRSCP SLD CYTP CONCTRJ TQ SMR and INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0835T","description":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0836T","description":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP FNA INTERPJ and REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0837T","description":"DGTZ GLASS MCRSCP SLD CYTP FNA INTERPJ and REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0830T","description":"DGTZ GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0827T","description":"DGTZ GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMPL FLTR METH INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0828T","description":"DGTZ GLASS MCRSCP SLD CYTP SMPL FLTR METH INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0834T","description":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC PREP SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0833T","description":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC PREP SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC SCR and NTRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0832T","description":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC SCR and NTRP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0756T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0854T","description":"DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0855T","description":"DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF MAT PREP SLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0839T","description":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF MAT PREP SLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF SLD PREP ELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0838T","description":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF SLD PREP ELS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0856T","description":"DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0840T","description":"DGTZ GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0845T","description":"DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0846T","description":"DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0848T","description":"DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0849T","description":"DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0850T","description":"DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0851T","description":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0852T","description":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0853T","description":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0841T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0842T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0843T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0844T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD XM and SLCTN ARCH TIS MOLEC ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0847T","description":"DGTZ GLS MCRSCP SLD XM and SLCTN ARCH TIS MOLEC ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DI GNOTYP GENE ANALYSIS SLC4A1 EXON 19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0183U","description":"DI GNOTYP GENE ANALYSIS SLC4A1 EXON 19","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0403T","description":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3000","description":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGM F/U VISIT MD PROVIDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9141","description":"DIABETIC MANAGEMENT PROGM F/U VISIT MD PROVIDER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9465","description":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9455","description":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9460","description":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MGMT PROGM F/U VISIT NON-MD PROVIDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9140","description":"DIABETIC MGMT PROGM F/U VISIT NON-MD PROVIDER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSIS FOR CHRONIC OPD EMPHYSEMA CF/ARF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1460","description":"DIAGNOSIS FOR CHRONIC OPD EMPHYSEMA CF/ARF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSIS OF DELIRIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1477","description":"DIAGNOSIS OF DELIRIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ERCP INCL COLL SPEC BY BRUSH/WASHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7541","description":"DIAGNOSTIC ERCP INCL COLL SPEC BY BRUSH/WASHING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4001","description":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC RADIOLOGY MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1498","description":"DIAGNOSTIC RADIOLOGY MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4765","description":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL  GT 249 LT or equal to 999 CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4720","description":"DIALYSATE DXTROS FL  GT 249 LT or equal to 999 CC PERITON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4760","description":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W/O ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0492","description":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W/O ESRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS CIRC INTRO TBS PERIPHERAL DIALYSIS SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7530","description":"DIALYSIS CIRC INTRO TBS PERIPHERAL DIALYSIS SEG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS CIRC TBA CNTRL DLYS SEG PRFRM DLYS CIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7513","description":"DIALYSIS CIRC TBA CNTRL DLYS SEG PRFRM DLYS CIRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1699","description":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W/O ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0491","description":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W/O ESRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS/STRESS VITAMIN SUPL ORAL 100 CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0194","description":"DIALYSIS/STRESS VITAMIN SUPL ORAL 100 CAPSULES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4690","description":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGTL SUBTRACTION 2 OR GT  IMAGES/IMAG VOL SAME MODAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0394","description":"DIGTL SUBTRACTION 2 OR GT  IMAGES/IMAG VOL SAME MODAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIHYDROTESTOSTERONE (DHT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82642","description":"DIHYDROTESTOSTERONE (DHT)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1221","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1220","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90700","description":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90700","description":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90296","description":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0128","description":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0128","description":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0379","description":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT IMMUNOFLUORESCENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0482","description":"DIRECT IMMUNOFLUORESCENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT SNS LPN HOME HLTH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0300","description":"DIRECT SNS LPN HOME HLTH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISC REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7852","description":"DISC REPAIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE MANAGEMENT PROGM; INIT ASSESS AND INIT PROGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0315","description":"DISEASE MANAGEMENT PROGM; INIT ASSESS AND INIT PROGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE MANAGEMENT PROGRAM; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0317","description":"DISEASE MANAGEMENT PROGRAM; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4540F","description":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2351","description":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKECT ANT W/OSTEOPHYTECT; LUMBAR 1 INTERSPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2350","description":"DISKECT ANT W/OSTEOPHYTECT; LUMBAR 1 INTERSPACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4860","description":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0352","description":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE UNSPECIFIED HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5090","description":"DISPENSING FEE UNSPECIFIED HEARING AID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0595","description":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABLE CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0500","description":"DISPOSABLE CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABLE UNDERPADS ALL SIZES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4554","description":"DISPOSABLE UNDERPADS ALL SIZES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTAL SHOE SPACE MNTNER - FIXED UNI - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1575","description":"DISTAL SHOE SPACE MNTNER - FIXED UNI - PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTAL TRANSCUT ELECTRICAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4540","description":"DISTAL TRANSCUT ELECTRICAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYS CIRC  PERM EVAR EMB/OCCL MAIN CIRC/ANY AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7515","description":"DLYS CIRC  PERM EVAR EMB/OCCL MAIN CIRC/ANY AV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYS CIRC ATL CNTRL DLYS SEG and TRNSCTH PLCMNT IVAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7514","description":"DLYS CIRC ATL CNTRL DLYS SEG and TRNSCTH PLCMNT IVAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3852","description":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3844","description":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3840","description":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY DOUBLE STRANDED HIGH AVIDITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0039U","description":"DNA ANTIBODY DOUBLE STRANDED HIGH AVIDITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DO GNOTYP GENE ANALYSIS ART4 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0184U","description":"DO GNOTYP GENE ANALYSIS ART4 EXON 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA  AND  CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA  AND  CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA  AND  CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA  AND  CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1185","description":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INHIBITR TX HLD  and CCS OR IMS RX OR ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1183","description":"DOC IMM CP INHIBITR TX HLD  and CCS OR IMS RX OR ADM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL DEFINE EGFR  and  UACR PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1189","description":"DOC KIDNEY HLTH EVL DEFINE EGFR  and  UACR PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR  and UACR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1190","description":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR  and UACR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9895","description":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9895","description":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1201","description":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1178","description":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1215","description":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NO PD-L1 BIOMARK EXPR TST BFR ICI TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1414","description":"DOC MED RSN NO PD-L1 BIOMARK EXPR TST BFR ICI TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR  Equal to TO OR GT  35.5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR  Equal to TO OR GT  35.5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9960","description":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9960","description":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1172","description":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1238","description":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC OF AL 2 ATT TO F/U W/PT W/I 180 DAYS OF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1463","description":"DOC OF AL 2 ATT TO F/U W/PT W/I 180 DAYS OF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC OF MED RSN FOR NOT ADMIN HEPATITIS B VACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1470","description":"DOC OF MED RSN FOR NOT ADMIN HEPATITIS B VACC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1112","description":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1127","description":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1122","description":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1298","description":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1028","description":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1028","description":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NO EXAM REFUSAL EXAM/LOST TO F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1392","description":"DOC PT RSN NO EXAM REFUSAL EXAM/LOST TO F/U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8969","description":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1194","description":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1107","description":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1131","description":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1117","description":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1217","description":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN INTVL  LT 3 YRS SINCE LAST COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9999","description":"DOC SYS RSN INTVL  LT 3 YRS SINCE LAST COLONOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9242","description":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9242","description":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1235","description":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REAS INTERVAL  LT 3 YR SINCE LST COLONSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9998","description":"DOCUM MED REAS INTERVAL  LT 3 YR SINCE LST COLONSCP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1175","description":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1184","description":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1169","description":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9997","description":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1202","description":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9996","description":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT MED RSN NOT RCMD A 10 YEAR F/U INTERVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1378","description":"DOCUMENT MED RSN NOT RCMD A 10 YEAR F/U INTERVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9896","description":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9896","description":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9940","description":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9940","description":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9957","description":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9957","description":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF CHA2DS2-VASC RISK SCORE OF 0/1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9931","description":"DOCUMENTATION OF CHA2DS2-VASC RISK SCORE OF 0/1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF FALLS NOT PERF DUE TO MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1493","description":"DOCUMENTATION OF FALLS NOT PERF DUE TO MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF FALLS NOT PERF DUE TO MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1497","description":"DOCUMENTATION OF FALLS NOT PERF DUE TO MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF MED RSN FOR PERF BONE SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1427","description":"DOCUMENTATION OF MED RSN FOR PERF BONE SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1330","description":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1335","description":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT FFS HEP B VACC NOT COVERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1471","description":"DOCUMENTATION PT FFS HEP B VACC NOT COVERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1307","description":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT RSN PT NOT SEEN 2ND PAM SURV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1385","description":"DOCUMENTATION PT RSN PT NOT SEEN 2ND PAM SURV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1288","description":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0174","description":"DOLASETRON MESYLATE ORAL 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0174","description":"DOLASETRON MESYLATE ORAL 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR EGG CYCLE INCOMPLETE CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4023","description":"DONOR EGG CYCLE INCOMPLETE CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2061","description":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4025","description":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3722","description":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DPYD GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81232","description":"DPYD GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4427","description":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4428","description":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRO SYNDROS 0.1 MG ORAL FDA-APRVD RX ANTI-EMETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0155","description":"DRO SYNDROS 0.1 MG ORAL FDA-APRVD RX ANTI-EMETIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0167","description":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0167","description":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3535","description":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 120 Plus  RX and METABOLITES UR W/LC-MS/MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0328U","description":"DRUG ASSAY DEF 120 Plus  RX and METABOLITES UR W/LC-MS/MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY PRSMPTV 77 RX/METABLTS URINE LC-MS/MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0603U","description":"DRUG ASSAY PRSMPTV 77 RX/METABLTS URINE LC-MS/MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80329","description":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80330","description":"DRUG SCREEN ANALGESICS NON-OPIOID 3-5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80331","description":"DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80321","description":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80322","description":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 3 OR 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80325","description":"DRUG SCREEN QUANT AMPHETAMINES 3 OR 4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80326","description":"DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80327","description":"DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80328","description":"DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80165","description":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ALCOHOLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80320","description":"DRUG SCREEN QUANTITATIVE ALCOHOLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80163","description":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80374","description":"DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BARBITURATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80345","description":"DRUG SCREENING BARBITURATES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BENZODIAZEPINES 1-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80346","description":"DRUG SCREENING BENZODIAZEPINES 1-12","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BENZODIAZEPINES 13 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80347","description":"DRUG SCREENING BENZODIAZEPINES 13 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS NATURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80349","description":"DRUG SCREENING CANNABINOIDS NATURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80350","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80351","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80352","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING COCAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80353","description":"DRUG SCREENING COCAINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING FENTANYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80354","description":"DRUG SCREENING FENTANYL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING GABAPENTIN NON-BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80355","description":"DRUG SCREENING GABAPENTIN NON-BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING HEROIN METABOLITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80356","description":"DRUG SCREENING HEROIN METABOLITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING KETAMINE AND NORKETAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80357","description":"DRUG SCREENING KETAMINE AND NORKETAMINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHADONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80358","description":"DRUG SCREENING METHADONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHYLENEDIOXYAMPHETAMINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80359","description":"DRUG SCREENING METHYLENEDIOXYAMPHETAMINES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIATES 1 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80361","description":"DRUG SCREENING OPIATES 1 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS  and  OPIATE ANALOGS 5/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80364","description":"DRUG SCREENING OPIOIDS  and  OPIATE ANALOGS 5/MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80362","description":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80363","description":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OXYCODONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80365","description":"DRUG SCREENING OXYCODONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING PREGABALIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80366","description":"DRUG SCREENING PREGABALIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING PROPOXYPHENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80367","description":"DRUG SCREENING PROPOXYPHENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SEDATIVE HYPNOTICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80368","description":"DRUG SCREENING SEDATIVE HYPNOTICS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80370","description":"DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80369","description":"DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING STIMULANTS SYNTHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80371","description":"DRUG SCREENING STIMULANTS SYNTHETIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING TAPENTADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80372","description":"DRUG SCREENING TAPENTADOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING TRAMADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80373","description":"DRUG SCREENING TRAMADOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0659","description":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80375","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80376","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80377","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUGS/MEDICAMENTS DISPENSED OFFICE FOR HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9630","description":"DRUGS/MEDICAMENTS DISPENSED OFFICE FOR HOME USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROFIBROMAS XTNSV FACE HEAD NECK  GT 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0419T","description":"DSTRJ NEUROFIBROMAS XTNSV FACE HEAD NECK  GT 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROFIBROMAS XTNSV TRNK EXTREMITIES  GT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0420T","description":"DSTRJ NEUROFIBROMAS XTNSV TRNK EXTREMITIES  GT 100","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90702","description":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4366","description":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4376","description":"DUOGRAFT AA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4375","description":"DUOGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS FISTULA CPTR AIDED LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0876T","description":"DUPLEX SCAN HEMODIALYSIS FISTULA CPTR AIDED LMTD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLICATE/COPY PATIENT'S RECORDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9961","description":"DUPLICATE/COPY PATIENT'S RECORDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLICATION OF COMPLETE DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5878","description":"DUPLICATION OF COMPLETE DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLICATION OF COMPLETE DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5877","description":"DUPLICATION OF COMPLETE DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1399","description":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4256F","description":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0729T","description":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0728T","description":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1822","description":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1823","description":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1803","description":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1804","description":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1826","description":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1827","description":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1813","description":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1814","description":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1828","description":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1829","description":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1807","description":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1808","description":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5364","description":"DYSPHAGIA SCREENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0316","description":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT  AREAS CHRONIC STAGE III and IV ULCERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0281","description":"E-STIM 1 OR GT  AREAS CHRONIC STAGE III and IV ULCERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1/MORE AREAS WND CARE OTH THAN DESC G0281","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0282","description":"E-STIM 1/MORE AREAS WND CARE OTH THAN DESC G0281","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8930","description":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADD 15 MIN CPM  and  TX BY PHYS/OTH QHCP PER CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G3003","description":"EACH ADD 15 MIN CPM  and  TX BY PHYS/OTH QHCP PER CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADD 20 MIN MO TX DMHT DVC PT/CG DUR CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0554","description":"EACH ADD 20 MIN MO TX DMHT DVC PT/CG DUR CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2953","description":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2957","description":"EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5265","description":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR PIERCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69090","description":"EAR PIERCING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR PROTECTOR ATTENUATION MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92596","description":"EAR PROTECTOR ATTENUATION MEASUREMENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ALGORITHMICALLY GEN 12 LD RDCD LD I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0905T","description":"ECG ALGORITHMICALLY GEN 12 LD RDCD LD I and R ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ALGORITHMICALLY GEN 12 LD RDCD LD TRCG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0904T","description":"ECG ALGORITHMICALLY GEN 12 LD RDCD LD TRCG ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ALGORITHMICALLY GEN 12 LEAD REDUCED LEAD I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0903T","description":"ECG ALGORITHMICALLY GEN 12 LEAD REDUCED LEAD I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS INTERPR  and  REPORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0405","description":"ECG RTN ECG W/12 LEADS INTERPR  and  REPORT ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0403","description":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0404","description":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOGENIC NERVE BLK NEEDLES NON-OPIOID MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9812","description":"ECHOGENIC NERVE BLK NEEDLES NON-OPIOID MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOSCLEROTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2202","description":"ECHOSCLEROTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDETATE DISODIUM PER 150 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3520","description":"EDETATE DISODIUM PER 150 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98961","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98962","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99071","description":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99071","description":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"EE 2 PRTN BMRK MAJ BASIC PRTN ELISA EST DEV ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0095U","description":"EE 2 PRTN BMRK MAJ BASIC PRTN ELISA EST DEV ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG IMPL S-SCLP CONT BI EEG SYS PHYS/QHP W/O VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1007T","description":"EEG IMPL S-SCLP CONT BI EEG SYS PHYS/QHP W/O VID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43252","description":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL VOL ADJMT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0813T","description":"EGD FLX TRNSORL VOL ADJMT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTOMERIC INFUSION PUMP NONOPIOID MED DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9804","description":"ELASTOMERIC INFUSION PUMP NONOPIOID MED DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS CPLX PRGRMG IINS BLDR DYSF PTN 4 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0590T","description":"ELEC ALYS CPLX PRGRMG IINS BLDR DYSF PTN 4 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS CPLX PRGRMG IINS SP/SAC NRV 4 Plus PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0789T","description":"ELEC ALYS CPLX PRGRMG IINS SP/SAC NRV 4 Plus PARAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPL S-SCLP CONT BI EEG SYS PRGRMG 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1005T","description":"ELEC ALYS IMPL S-SCLP CONT BI EEG SYS PRGRMG 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPL S-SCLP CONT BI EEG SYS PRGRMG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1006T","description":"ELEC ALYS IMPL S-SCLP CONT BI EEG SYS PRGRMG EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPL S-SCLP CONT BI EEG SYS W/O PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1004T","description":"ELEC ALYS IMPL S-SCLP CONT BI EEG SYS W/O PRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS INT NSTIMJ SYS VAGUS NRV W/O PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0911T","description":"ELEC ALYS INT NSTIMJ SYS VAGUS NRV W/O PRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS INT NSTIMJ SYS VAGUS NRV W/SMPL PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0912T","description":"ELEC ALYS INT NSTIMJ SYS VAGUS NRV W/SMPL PRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NPGS LWR ESOPH SPHNCT SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1018T","description":"ELEC ALYS NPGS LWR ESOPH SPHNCT SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NPGS LWR ESOPH SPHNCT SBSQ WO REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1017T","description":"ELEC ALYS NPGS LWR ESOPH SPHNCT SBSQ WO REPRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NPGS LWR ESOPHGL SPHNCTR NTRAOP PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1016T","description":"ELEC ALYS NPGS LWR ESOPHGL SPHNCTR NTRAOP PRGRMG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS SMPL PRGRMG IINS BLDR DYSF PTN 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0589T","description":"ELEC ALYS SMPL PRGRMG IINS BLDR DYSF PTN 1-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS SMPL PRGRMG IINS SP/SAC NRV 1-3 PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0788T","description":"ELEC ALYS SMPL PRGRMG IINS SP/SAC NRV 1-3 PARAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0530","description":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0766","description":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECMAGNET TX 1 OR GT AREA WND CARE NOT G0329/OTH USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0295","description":"ELECMAGNET TX 1 OR GT AREA WND CARE NOT G0329/OTH USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0329","description":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRD/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4555","description":"ELECTRD/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.15,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODE FOR EXTERNAL LW EXTREMITY NRV STIM RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4544","description":"ELECTRODE FOR EXTERNAL LW EXTREMITY NRV STIM RLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3751F","description":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3752F","description":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROEJACULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55870","description":"ELECTROEJACULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0746","description":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON BEAM COMPUTED TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8092","description":"ELECTRON BEAM COMPUTED TOMOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON MICROSCOPY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0481","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC AMB INF PUMP NON-OPIOID MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9811","description":"ELECTRONIC AMB INF PUMP NON-OPIOID MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC CRYO-PNEU COMP NON-OPIOID MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9817","description":"ELECTRONIC CRYO-PNEU COMP NON-OPIOID MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1505","description":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC SALIVARY REFLEX STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0755","description":"ELECTRONIC SALIVARY REFLEX STIMULATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC TRANSANAL IRRIG SYS W/O CATH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4479","description":"ELECTRONIC TRANSANAL IRRIG SYS W/O CATH ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC WRIST ROTATOR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7259","description":"ELECTRONIC WRIST ROTATOR ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC EVAL CCM-D LEADS AT 1ST IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0930T","description":"ELECTROPHYSIOLOGIC EVAL CCM-D LEADS AT 1ST IMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC EVAL CCM-D LEADS SEPARATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0931T","description":"ELECTROPHYSIOLOGIC EVAL CCM-D LEADS SEPARATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0577T","description":"ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4002","description":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1279","description":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8950","description":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1278","description":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9963","description":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9963","description":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBO EPT DOC SEP EA EMBO VESSEL  and  OA ANGIO/EMBO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9962","description":"EMBO EPT DOC SEP EA EMBO VESSEL  and  OA ANGIO/EMBO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBO EPT DOC SEP EA EMBO VESSEL  and  OA ANGIO/EMBO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9962","description":"EMBO EPT DOC SEP EA EMBO VESSEL  and  OA ANGIO/EMBO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBRYO TRANSFER INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58974","description":"EMBRYO TRANSFER INTRAUTERINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG STAT LAB CHARGE PT HOMBOUND/RESID NRS FACL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3601","description":"EMERG STAT LAB CHARGE PT HOMBOUND/RESID NRS FACL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4003","description":"EMERGENCY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5160","description":"EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5162","description":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5161","description":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY TRACHEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7990","description":"EMERGENCY TRACHEOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENT CASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1142","description":"EMERGENT CASES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENAMEL MICROABRASION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9970","description":"ENAMEL MICROABRASION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCLOSE TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4351","description":"ENCLOSE TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTER CRSPD TO INIT DX OF SA/FIRST CONT W/SA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1441","description":"ENCOUNTER CRSPD TO INIT DX OF SA/FIRST CONT W/SA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1426","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1431","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1432","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1436","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1437","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1440","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1442","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1443","description":"ENCOUNTERS CONDUCTED VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"END-TIDAL CTRL INHALD ANES AGT and O2 ASST ANES CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0887T","description":"END-TIDAL CTRL INHALD ANES AGT and O2 ASST ANES CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDO DEF CLS ENTR GIT/COL SYS  and  TISS ANCH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9901","description":"ENDO DEF CLS ENTR GIT/COL SYS  and  TISS ANCH COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDO RETRO IMAG/ILLUMINATION COLONOSCOPE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1749","description":"ENDO RETRO IMAG/ILLUMINATION COLONOSCOPE DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOL OP DNA MTHYLTN ALYS GT 5000 SITE WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0625U","description":"ENDOCRINOL OP DNA MTHYLTN ALYS GT 5000 SITE WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81506","description":"ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOLOGY DIABETES INS GEN MTHYLTN DPCR CPEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0602U","description":"ENDOCRINOLOGY DIABETES INS GEN MTHYLTN DPCR CPEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4004","description":"ENDOCRINOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDODONTIC ENDOSSEOUS IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3460","description":"ENDODONTIC ENDOSSEOUS IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDODONTIC THERAPY ANTERIOR TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3310","description":"ENDODONTIC THERAPY ANTERIOR TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDODONTIC THERAPY MOLAR TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3330","description":"ENDODONTIC THERAPY MOLAR TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDODONTIC THERAPY PREMOLAR TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3320","description":"ENDODONTIC THERAPY PREMOLAR TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCOPY BX  and  RSLT NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCOPY BX  and  RSLT NOT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPE SINGLE-USE PULMONARY IMAGING/ILLUM DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1601","description":"ENDOSCOPE SINGLE-USE PULMONARY IMAGING/ILLUM DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPE SINGLE-USE UPPER GI IMAG/ILLUM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1748","description":"ENDOSCOPE SINGLE-USE UPPER GI IMAG/ILLUM DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPE SINGLE-USE URINARY TRACT IMG/ILLUM DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1747","description":"ENDOSCOPE SINGLE-USE URINARY TRACT IMG/ILLUM DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSKEL KN SHIN SGL AX ELMCH SW  and  ST PHS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5827","description":"ENDOSKEL KN SHIN SGL AX ELMCH SW  and  ST PHS CNTRL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0620T","description":"ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9474","description":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8270","description":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90882","description":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EOSINOPHIL COUNT BLOOD DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3630","description":"EOSINOPHIL COUNT BLOOD DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93644","description":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIKERATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65767","description":"EPIKERATOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1137F","description":"EPISODE BACK PAIN LASTING  GT 12 WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1137F","description":"EPISODE BACK PAIN LASTING  GT 12 WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1135F","description":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1135F","description":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4361","description":"EPIXPRESS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4361","description":"EPIXPRESS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EQUESTRIAN/HIPPOTHERAPY PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8940","description":"EQUESTRIAN/HIPPOTHERAPY PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP SPHINCTEROT/PAPILLOT ENDO CANNULATION PAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7543","description":"ERCP SPHINCTEROT/PAPILLOT ENDO CANNULATION PAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/RM FB/ST BIL/PD and ENDO CAN PAP W/VIS PC/CBD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7560","description":"ERCP W/RM FB/ST BIL/PD and ENDO CAN PAP W/VIS PC/CBD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP WITH BIOPSY SINGLE/MX ENDO CANNULATION PAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7542","description":"ERCP WITH BIOPSY SINGLE/MX ENDO CANNULATION PAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0397T","description":"ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP WITH REMOVAL OF CALCULI/DEB FROM BILIARY/PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7544","description":"ERCP WITH REMOVAL OF CALCULI/DEB FROM BILIARY/PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESD INCLUD ENDOSCOPY/COLONOSCOPY MUCOSAL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9779","description":"ESD INCLUD ENDOSCOPY/COLONOSCOPY MUCOSAL CLOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9777","description":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43206","description":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0884T","description":"ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTIM/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0769","description":"ESTIM/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0102T","description":"ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513T","description":"ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0512T","description":"ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1214.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.63,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1214.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.63,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.84,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EV CATHETER DIR CHEM ABLTJ INCMPTNT XTR VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0524T","description":"EV CATHETER DIR CHEM ABLTJ INCMPTNT XTR VEIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF  AND  CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505T","description":"EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF  AND  CLSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAC MEIBOMIAN GLNDS AUTO HT AND  INTMT PRESS UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0207T","description":"EVAC MEIBOMIAN GLNDS AUTO HT AND  INTMT PRESS UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0563T","description":"EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84112","description":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84112","description":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL FOR MOD/DEEP SEDATION/GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9219","description":"EVAL FOR MOD/DEEP SEDATION/GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92618","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92605","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION BY OCCULARIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9150","description":"EVALUATION BY OCCULARIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92629","description":"EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC DELIVERY AORTIC WALL STABLJ DRUG THER OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0995T","description":"EVASC DELIVERY AORTIC WALL STABLJ DRUG THER OPEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC DELIVERY AORTIC WALL STABLJ DRUG THER PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0994T","description":"EVASC DELIVERY AORTIC WALL STABLJ DRUG THER PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1227","description":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXAM  AND  SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88363","description":"EXAM  AND  SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCESSIVE SKIN  and SUBQ TISSUE FOREARM/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15837","description":"EXC EXCESSIVE SKIN  and SUBQ TISSUE FOREARM/HAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKIN  AND  SUBQ TISSUE SUBMENTAL FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15838","description":"EXC EXCSV SKIN  AND  SUBQ TISSUE SUBMENTAL FAT PAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7441","description":"EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7440","description":"EXC MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCAVATION TOOTH RSLT IN DETERM NON-RSTRBILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2989","description":"EXCAVATION TOOTH RSLT IN DETERM NON-RSTRBILITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCELLAGEN 0.1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4149","description":"EXCELLAGEN 0.1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATH PERQ UE STRICT BLN DIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7548","description":"EXCHANGE NEPHROSTOMY CATH PERQ UE STRICT BLN DIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67966","description":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67966","description":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67961","description":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67961","description":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15836","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ARM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE BUTTOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15835","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE BUTTOCK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15834","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE HIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15833","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE LEG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  GT  1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA  GT  1 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  GT  1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA  GT  1 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  LT 1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA  LT 1 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  LT 1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA  LT 1 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAJ PN NEUROMA NO SC IMP NE INTO BN/MSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7551","description":"EXCISION MAJ PN NEUROMA NO SC IMP NE INTO BN/MSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BENIGN LESION COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7412","description":"EXCISION OF BENIGN LESION COMPLICATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BENIGN LESION GREATER THAN 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7411","description":"EXCISION OF BENIGN LESION GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BENIGN LESION UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7410","description":"EXCISION OF BENIGN LESION UP TO 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF HYPERPLASTIC TISSUE-PER ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7970","description":"EXCISION OF HYPERPLASTIC TISSUE-PER ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF MALIGNANT LESION  GT  1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7414","description":"EXCISION OF MALIGNANT LESION  GT  1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF MALIGNANT LESION COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7415","description":"EXCISION OF MALIGNANT LESION COMPLICATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF MALIGNANT LESION UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7413","description":"EXCISION OF MALIGNANT LESION UP TO 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF PERICORONAL GINGIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7971","description":"EXCISION OF PERICORONAL GINGIVA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF SALIVARY GLAND BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7981","description":"EXCISION OF SALIVARY GLAND BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISIONAL BIOPSY OF MINOR SALIVARY GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7284","description":"EXCISIONAL BIOPSY OF MINOR SALIVARY GLANDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33269","description":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33268","description":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33267","description":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9451","description":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9300","description":"EXERCISE EQUIPMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7287","description":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME TUMOR TISSUE  AND  NORMAL SPECIMEN SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0036U","description":"EXOME TUMOR TISSUE  AND  NORMAL SPECIMEN SEQ ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOSURE OF AN UNERUPTED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7280","description":"EXPOSURE OF AN UNERUPTED TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXSUFFLATION BELT INCL ALL SUPL  and  ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4468","description":"EXSUFFLATION BELT INCL ALL SUPL  and  ACCESSORIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9975","description":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT LE SENS PROS CUT STIM MR PROX TO ANKLE Q LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8720","description":"EXT LE SENS PROS CUT STIM MR PROX TO ANKLE Q LEG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT LINE W/EASY LOCK CONNECTORS USED W/DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4673","description":"EXT LINE W/EASY LOCK CONNECTORS USED W/DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1030","description":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARG SYS BAT INT IMPL NEUROSTIM REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8689","description":"EXT RECHARG SYS BAT INT IMPL NEUROSTIM REPL ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE 75 MINS IN-HOME VISIT NEW PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2005","description":"EXTENSIVE 75 MINS IN-HOME VISIT NEW PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR EXST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0085","description":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR EXST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0080","description":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0787","description":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9972","description":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL BLEACHING - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9973","description":"EXTERNAL BLEACHING - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0743","description":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0734","description":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTND CUL OOCYTE/EMBRYO 4-7 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89272","description":"EXTND CUL OOCYTE/EMBRYO 4-7 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA-ORAL - 2D PROJECTION X-RAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0250","description":"EXTRA-ORAL - 2D PROJECTION X-RAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0705","description":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0251","description":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0101T","description":"EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9034","description":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7111","description":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERU TOOTH RQR REMV BONE  and /SECTN TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7210","description":"EXTRACTION ERU TOOTH RQR REMV BONE  and /SECTN TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7140","description":"EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTSV 75 MINS IN-HOME VISIT EXIST PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2013","description":"EXTSV 75 MINS IN-HOME VISIT EXIST PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE GLASS CASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2756","description":"EYE GLASS CASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2033F","description":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD NON-STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6411","description":"EYE PAD NON-STERILE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD STERILE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"EYE PATCH OCCLUSIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6412","description":"EYE PATCH OCCLUSIVE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"EZ DERM PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4136","description":"EZ DERM PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.84,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8085","description":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0301","description":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION  and  DELIVERY OAT MORNING REPOS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9954","description":"FABRICATION  and  DELIVERY OAT MORNING REPOS DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION CSTM RMV CLEAR PLASTIC TEMP AE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9938","description":"FABRICATION CSTM RMV CLEAR PLASTIC TEMP AE APPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION OF ATHLETIC MOUTHGUARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9941","description":"FABRICATION OF ATHLETIC MOUTHGUARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0420","description":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0447","description":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0473","description":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE HH NSG VST RHC/FQHC AREA SHTG HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0490","description":"FACE-TO-FACE HH NSG VST RHC/FQHC AREA SHTG HHA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL AUGMENTATION IMPLANT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5925","description":"FACIAL AUGMENTATION IMPLANT PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL BONES-COMP RDUC FIX  AND  MX SURG APPROACHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7780","description":"FACIAL BONES-COMP RDUC FIX  AND  MX SURG APPROACHES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL MOULAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5912","description":"FACIAL MOULAGE COMPLETE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL MOULAGE SECTIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5911","description":"FACIAL MOULAGE SECTIONAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5919","description":"FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5929","description":"FACIAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACILITY-BASED RESPITE 24-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0531","description":"FACILITY-BASED RESPITE 24-HOUR UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4005","description":"FAMILY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY STABILIZATION SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9482","description":"FAMILY STABILIZATION SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCE BNS - COMP RDUC W/FIX and MX SURG APPRCHES CPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7680","description":"FCE BNS - COMP RDUC W/FIX and MX SURG APPRCHES CPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCSD US ABLTJ UTERINE LEIOMYOMAT  GT or equal to  200 CC T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0072T","description":"FCSD US ABLTJ UTERINE LEIOMYOMAT  GT or equal to  200 CC T","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9928","description":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9928","description":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0799","description":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0467","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0466","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VST IPPE/AWV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0468","description":"FEDERALLY QUALIFIED HEALTH CENTER VST IPPE/AWV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VST MH NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0469","description":"FEDERALLY QUALIFIED HEALTH CENTER VST MH NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CNTR VST MH ESTAB PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0470","description":"FEDERALLY QUALIFIED HEALTH CNTR VST MH ESTAB PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEEDING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5951","description":"FEEDING AID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FES TRANSQ STIM NERV and /MUSC GRP CMPL SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0770","description":"FES TRANSQ STIM NERV and /MUSC GRP CMPL SYS NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0341U","description":"FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81509","description":"FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONGENITAL ABNOR ASSAY FIVE ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81512","description":"FETAL CONGENITAL ABNOR ASSAY FIVE ANAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONGENITAL ABNOR ASSAY FOUR ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81511","description":"FETAL CONGENITAL ABNOR ASSAY FOUR ANAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONGENITAL ABNOR ASSAY THREE ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81510","description":"FETAL CONGENITAL ABNOR ASSAY THREE ANAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81508","description":"FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2411","description":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILGRASTIM G-CSF, 300 MCG, INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FILGRASTIM G-CSF, 300 MCG, INJECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILL AL 2 RX DUR PERF PRD ANY COMB ORAL AP MEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1380","description":"FILL AL 2 RX DUR PERF PRD ANY COMB ORAL AP MEDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINANCIAL MANAGEMENT SELF-DIRECTED WAIVER; PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2050","description":"FINANCIAL MANAGEMENT SELF-DIRECTED WAIVER; PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINASTERIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0138","description":"FINASTERIDE 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIRST 20 MIN MO TX DMHT DVC PT/CG DUR CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0553","description":"FIRST 20 MIN MO TX DMHT DVC PT/CG DUR CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4730","description":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92354","description":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92354","description":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92355","description":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92355","description":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92354","description":"FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MOUNTED LW VIS AID TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92355","description":"FITTING SPECTACLE MOUNTED LW VIS AID TLSCP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92352","description":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92352","description":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92353","description":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92353","description":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8220","description":"FIXED APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6980","description":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED PARTIAL DENTURE SECTIONING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9120","description":"FIXED PARTIAL DENTURE SECTIONING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9983","description":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9586","description":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9601","description":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE INT TANDEM DUPL VARIANTS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0046U","description":"FLT3 GENE INT TANDEM DUPL VARIANTS QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2034","description":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9609","description":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0218","description":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ICG ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92242","description":"FLUORESCEIN ICG ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92242","description":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92242","description":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORIDE GEL CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5986","description":"FLUORIDE GEL CARRIER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9602","description":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLURPIRIDAZ F18 DIAGNOSTIC 1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9611","description":"FLURPIRIDAZ F18 DIAGNOSTIC 1 MILLICURIE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTAMIDE ORAL 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0175","description":"FLUTAMIDE ORAL 125 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTAMIDE ORAL 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0175","description":"FLUTAMIDE ORAL 125 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT  16 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1366","description":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58970","description":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0246","description":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3160","description":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3253","description":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PRESSURE OFF LOAD/SUPP DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9283","description":"FOOT PRESSURE OFF LOAD/SUPP DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3251","description":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3252","description":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7606","description":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7606","description":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE ADULT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5140","description":"FOSTER CARE ADULT; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE ADULT; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5141","description":"FOSTER CARE ADULT; PER MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5145","description":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5146","description":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS Plus  DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2041","description":"FOUNDATION DRS Plus  DUO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS Plus  SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2042","description":"FOUNDATION DRS Plus  SOLO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS SOLO PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2034","description":"FOUNDATION DRS SOLO PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9507","description":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SFT TSS GFT EA ADD CNTIG T/EDNT T SAME SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4278","description":"FREE SFT TSS GFT EA ADD CNTIG T/EDNT T SAME SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SFT TSS GFT PROC 1ST T/EDNTULS T PSTN GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4277","description":"FREE SFT TSS GFT PROC 1ST T/EDNTULS T PSTN GFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7963","description":"FRENULOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.67,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4016","description":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4018","description":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL ANEUPLOIDY TRSMY DNA SEQ ALYS MAT PLSM RSK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0327U","description":"FTL ANEUPLOIDY TRSMY DNA SEQ ALYS MAT PLSM RSK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL MOUTH DEB ENABLE COMP PDL EVAL  and  DX SUBS V","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4355","description":"FULL MOUTH DEB ENABLE COMP PDL EVAL  and  DX SUBS V","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1141","description":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9916","description":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9916","description":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP  LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP  LT 37","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9918","description":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9918","description":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME  GT EQUAL 40 PCT  PREDICTED VALUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME  GT EQUAL 40 PCT  PREDICTED VALUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION 2/MORE 3D IMAGES VOLUME 1/MORE MODALITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0395","description":"FUSION 2/MORE 3D IMAGES VOLUME 1/MORE MODALITIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUT1 GNOTYP GENE ANALYSIS FUT1 EXON 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0185U","description":"FUT1 GNOTYP GENE ANALYSIS FUT1 EXON 4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUT2 GNOTYP GENE ANALYSIS FUT2 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0186U","description":"FUT2 GNOTYP GENE ANALYSIS FUT2 EXON 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ALYS CHNG DELET DUPL XPNSJ INSJ VRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0233U","description":"FXN GENE ALYS CHNG DELET DUPL XPNSJ INSJ VRNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FY GNOTYP GENE ANALYSIS ACKR1 EXONS 1-2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0187U","description":"FY GNOTYP GENE ANALYSIS ACKR1 EXONS 1-2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G4DERM PLUS AND SUPRELLO PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2037","description":"G4DERM PLUS AND SUPRELLO PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT MODULATION SYSTEM RHYTHMIC AUDITORY STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3200","description":"GAIT MODULATION SYSTEM RHYTHMIC AUDITORY STIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT TRAINER PED SZ ANT SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8002","description":"GAIT TRAINER PED SZ ANT SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALECTIN-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82777","description":"GALECTIN-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9800","description":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE GOZELLIX DIAG 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9616","description":"GALLIUM GA-68 GOZETOTIDE GOZELLIX DIAG 1 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58976","description":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING SERIAL COLLJ 7 TIMED BRTH SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0106U","description":"GASTRIC EMPTYING SERIAL COLLJ 7 TIMED BRTH SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROENTEROLOGY CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1422","description":"GASTROENTEROLOGY CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROENTEROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4006","description":"GASTROENTEROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL FAT ABSORPTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3708","description":"GASTROINTESTINAL FAT ABSORPTION STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4088","description":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4088","description":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6217","description":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6217","description":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6216","description":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6216","description":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6403","description":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6403","description":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6402","description":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6402","description":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GE GNOTYP GENE ANALYSIS GYPC EXONS 1-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0188U","description":"GE GNOTYP GENE ANALYSIS GYPC EXONS 1-4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEFITINIB ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8565","description":"GEFITINIB ORAL 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6025","description":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN NEUROSTIM HIGH FREQ RECHARG BATT  AND  CHARG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1822","description":"GEN NEUROSTIM HIGH FREQ RECHARG BATT  AND  CHARG SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GEN NEUROSTIM NONRCHRGBL W/CAR SIN BR STIM LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1825","description":"GEN NEUROSTIM NONRCHRGBL W/CAR SIN BR STIM LEAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN NS NON-RC IMPL STIM LEAD  and  EXT PRD STIM CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1827","description":"GEN NS NON-RC IMPL STIM LEAD  and  EXT PRD STIM CTRL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4007","description":"GENERAL SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERATOR NEUROSTIMULATOR RC BATT  and  CHARGING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1826","description":"GENERATOR NEUROSTIMULATOR RC BATT  and  CHARGING SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3866","description":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0265","description":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0423","description":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3800","description":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR ALPHA-THALASSEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3845","description":"GENETIC TESTING FOR ALPHA-THALASSEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3853","description":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR NIEMANN-PICK DISEASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3849","description":"GENETIC TESTING FOR NIEMANN-PICK DISEASES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR RETINOBLASTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3841","description":"GENETIC TESTING FOR RETINOBLASTOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SICKLE CELL ANEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3850","description":"GENETIC TESTING FOR SICKLE CELL ANEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3842","description":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3846","description":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING SCN5A  AND  VARIANTS FOR SUSPCTED BS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3861","description":"GENETIC TESTING SCN5A  AND  VARIANTS FOR SUSPCTED BS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0425U","description":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0094U","description":"GENOME RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0426U","description":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4008","description":"GERIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI BARRETTS ESOPHAGUS VIM AND CCNA1 MTHYLTN ALYS ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0114U","description":"GI BARRETTS ESOPHAGUS VIM AND CCNA1 MTHYLTN ALYS ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI BARRETTS ESOPHGL CELL DNA MTHYLTN ALYS NGS 89","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0506U","description":"GI BARRETTS ESOPHGL CELL DNA MTHYLTN ALYS NGS 89","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IBD IA QUAN DETER ADL LEVELS VENOUS SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0514U","description":"GI IBD IA QUAN DETER ADL LEVELS VENOUS SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IBD IA QUAN DETER IFX LEVELS VENOUS SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0515U","description":"GI IBD IA QUAN DETER IFX LEVELS VENOUS SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IBS IA ANTI-CDTB AND ANTI-VINCULIN ANTB PLSM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0164U","description":"GI IBS IA ANTI-CDTB AND ANTI-VINCULIN ANTB PLSM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IBS IGG ANTBS 18 FOOD ITEMS ELISA WHL BLD/SRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0598U","description":"GI IBS IGG ANTBS 18 FOOD ITEMS ELISA WHL BLD/SRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI MALABS EVAL AAT CALPROTECTIN PNCRTC ELASTASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0430U","description":"GI MALABS EVAL AAT CALPROTECTIN PNCRTC ELASTASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91112","description":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING FLAP PROC-4 OR GT CONTIG TH/TOOTH BND SPS/QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4240","description":"GING FLAP PROC-4 OR GT CONTIG TH/TOOTH BND SPS/QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4212","description":"GING/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL FLAP PROC-1-3 CONTIG TH/TT BND SPS/QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4241","description":"GINGIVAL FLAP PROC-1-3 CONTIG TH/TT BND SPS/QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL IRRIGATION MEDICINAL AGENT - /QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4921","description":"GINGIVAL IRRIGATION MEDICINAL AGENT - /QUADRANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4211","description":"GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT/PLSTY 4 OR GT CNTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4210","description":"GINGIVECT/PLSTY 4 OR GT CNTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1223","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1222","description":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIAL FIBRILLARY ACIDIC PROTEIN CLEIA PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0548U","description":"GLIAL FIBRILLARY ACIDIC PROTEIN CLEIA PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOBAL FEE URGENT CARE CENTERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9083","description":"GLOBAL FEE URGENT CARE CENTERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0400","description":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540F","description":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BLOOD REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82948","description":"GLUCOSE BLOOD REAGENT STRIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BLOOD REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82948","description":"GLUCOSE BLOOD REAGENT STRIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCA NUC MR SPECTROSCOPY QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0024U","description":"GLYCA NUC MR SPECTROSCOPY QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1212","description":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0431U","description":"GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.06,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.06,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.06,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2410","description":"GOLD FOIL - ONE SURFACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2430","description":"GOLD FOIL - THREE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2420","description":"GOLD FOIL - TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1181","description":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8426","description":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8425","description":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8420","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8423","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8422","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE EXTERIOR WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8429","description":"GRADIENT PRESSURE EXTERIOR WRAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4392","description":"GRAFIX DUO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT TRANSMUR TRANSVN ART BYPASS W/ALL SYS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1604","description":"GRAFT TRANSMUR TRANSVN ART BYPASS W/ALL SYS COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4113","description":"GRAFTJACKET XPRESS INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0166","description":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0166","description":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0543","description":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSY DX EV/TX MH/SUBST USE DISOR REM HOSP STF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7903","description":"GRP PSY DX EV/TX MH/SUBST USE DISOR REM HOSP STF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43889","description":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1210","description":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1209","description":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1007","description":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1007","description":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDED TISS REGEN NAT TEETH-NON-RESORB BR/SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4267","description":"GUIDED TISS REGEN NAT TEETH-NON-RESORB BR/SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3432","description":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDED TISSUE REG NAT TEETH-RESORB BARRIER/SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4266","description":"GUIDED TISSUE REG NAT TEETH-RESORB BARRIER/SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GYPA GNOTYP GENE ALYS GYPA INTRONS 1 5 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0189U","description":"GYPA GNOTYP GENE ALYS GYPA INTRONS 1 5 EXON 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GYPB GNOTYP ALYS GYPB INTRON 1 5 PSEUDOEXON 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0190U","description":"GYPB GNOTYP ALYS GYPB INTRON 1 5 PSEUDOEXON 3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H5 VACCINE PANDEMIC SPLIT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90631","description":"H5 VACCINE PANDEMIC SPLIT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H5N8 VACCINE DRV CELL CUL ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90695","description":"H5N8 VACCINE DRV CELL CUL ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAIR ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P2031","description":"HAIR ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2600","description":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7295","description":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2055","description":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1C IN-OFFICE POINT OF SERVICE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0411","description":"HBA1C IN-OFFICE POINT OF SERVICE TESTING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS  AND  RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9912","description":"HBV STS ASSESS  AND  RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS  AND  RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9912","description":"HBV STS ASSESS  AND  RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0395T","description":"HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH  AND  WELL-BEING COACHING F2F INDIV 1ST ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0591T","description":"HEALTH  AND  WELL-BEING COACHING F2F INDIV 1ST ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH  AND  WELL-BEING COACHING F2F INDIV F-UP SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0592T","description":"HEALTH  AND  WELL-BEING COACHING F2F INDIV F-UP SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH  AND  WELL-BEING COACHING FACE TO FACE GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0593T","description":"HEALTH  AND  WELL-BEING COACHING FACE TO FACE GROUP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH CLUB MEMBERSHIP ANNUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9970","description":"HEALTH CLUB MEMBERSHIP ANNUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5248","description":"HEARING AID ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5249","description":"HEARING AID ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5242","description":"HEARING AID ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5243","description":"HEARING AID ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BILATERAL BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5100","description":"HEARING AID BILATERAL BODY WORN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5172","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5214","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5212","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5258","description":"HEARING AID DIGITAL BINAURAL CIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5255","description":"HEARING AID DIGITAL MONAURAL ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5250","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5251","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5244","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5245","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5263","description":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5262","description":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID FITTING SERVICES EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92635","description":"HEARING AID FITTING SERVICES EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MEAS VERIF W/PROBE MICROPHONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92639","description":"HEARING AID MEAS VERIF W/PROBE MICROPHONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92636","description":"HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92637","description":"HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID SELECTION SERVICES 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92631","description":"HEARING AID SELECTION SERVICES 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID SELECTION SERVICES EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92632","description":"HEARING AID SELECTION SERVICES EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5267","description":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING ASSISTIVE DEVICE SUPPL TECH FITTING SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92642","description":"HEARING ASSISTIVE DEVICE SUPPL TECH FITTING SVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92641","description":"HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5008","description":"HEARING SCREENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5299","description":"HEARING SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"HEEL PAD REMOVABLE FOR SPUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3485","description":"HEEL PAD REMOVABLE FOR SPUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM RBC ADS NDOTHL/SUBNDOTHL ADS MOLEC HYPOXIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0303U","description":"HEM RBC ADS NDOTHL/SUBNDOTHL ADS MOLEC HYPOXIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM RBC ADS NDOTHL/SUBNDOTHL ADS MOLEC NORMOXIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0304U","description":"HEM RBC ADS NDOTHL/SUBNDOTHL ADS MOLEC NORMOXIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM RBC FNCLTY and DFRM FUNCJ SHEAR STRS WHL BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0305U","description":"HEM RBC FNCLTY and DFRM FUNCJ SHEAR STRS WHL BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM RED CELL MEMB DISORDER RBCS OGE WHL BLD QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0606U","description":"HEM RED CELL MEMB DISORDER RBCS OGE WHL BLD QUAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM VTE GW SNP F2 and F5 GENE ALYS  and  LEIDEN VRNT SLV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0529U","description":"HEM VTE GW SNP F2 and F5 GENE ALYS  and  LEIDEN VRNT SLV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1086","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1085","description":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMISECTION NOT INCLUDING ROOT CANAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3920","description":"HEMISECTION NOT INCLUDING ROOT CANAL THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS MACHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1590","description":"HEMODIALYSIS MACHINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.77,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL  LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3281F","description":"HEMOGLOBIN LEVEL  LT 11 G/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1052","description":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOSTATS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1637","description":"HEMOSTATS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0344U","description":"HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP NASH DNA MTHYLTN ALYS 5000 SITES WHOLE BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0624U","description":"HEP NASH DNA MTHYLTN ALYS 5000 SITES WHOLE BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP NASH MIR-34A-5P A2M YKL40 HBA1C SRM and WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0468U","description":"HEP NASH MIR-34A-5P A2M YKL40 HBA1C SRM and WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1520","description":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90636","description":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90636","description":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.93,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.21,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ABO SC IND HIGH RISK AND OTH CVRD INDIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0472","description":"HEPATITIS C ABO SC IND HIGH RISK AND OTH CVRD INDIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90744","description":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90744","description":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPCIDIN-25 ELISA SERUM OR PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0251U","description":"HEPCIDIN-25 ELISA SERUM OR PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED BRST CA RLTD DO GEN SEQ ALYS PNL 17 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0102U","description":"HERED BRST CA RLTD DO GEN SEQ ALYS PNL 17 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0101U","description":"HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0162U","description":"HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81437","description":"HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED OVARIAN CANCER GEN SEQ ALYS PANEL 24 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0103U","description":"HERED OVARIAN CANCER GEN SEQ ALYS PANEL 24 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED PAN CA GSAP 88 GENES 20DUP/DEL NGS BLD/SLV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0474U","description":"HERED PAN CA GSAP 88 GENES 20DUP/DEL NGS BLD/SLV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED PRST8 CA RLTD DO TRGT MRNA SEQ ALYS 11 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0133U","description":"HERED PRST8 CA RLTD DO TRGT MRNA SEQ ALYS 11 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED PRST8 CA-RLTD DO GSAP NGS CGH EVAL 23 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0475U","description":"HERED PRST8 CA-RLTD DO GSAP NGS CGH EVAL 23 GENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY BRST CA RLTD DO GEN SEQ and DEL/DUP PNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0129U","description":"HEREDITARY BRST CA RLTD DO GEN SEQ and DEL/DUP PNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA DO TRGT MRNA SEQ ALYS PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0130U","description":"HEREDITARY COLON CA DO TRGT MRNA SEQ ALYS PANEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY PAN CA TRGT MRNA SEQ ALYS 18 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0134U","description":"HEREDITARY PAN CA TRGT MRNA SEQ ALYS 18 GENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY RTA DO GEN SEQ ALYS AT LEAST 15 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81434","description":"HEREDITARY RTA DO GEN SEQ ALYS AT LEAST 15 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1290","description":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1285","description":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1090","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1089","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90748","description":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90748","description":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90644","description":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90644","description":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI; IND ED SEX BHV;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI; IND ED SEX BHV;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH-RESOLUTION GASTRIC ELECTROPHYSIOLOGY MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0868T","description":"HIGH-RESOLUTION GASTRIC ELECTROPHYSIOLOGY MAPG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORICAL TRAUMA MH  and  CC FOR INDIGENOUS PERSONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0053","description":"HISTORICAL TRAUMA MH  and  CC FOR INDIGENOUS PERSONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0260","description":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0686T","description":"HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTOTRIPSY MALIGNANT RENAL TISSUE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0888T","description":"HISTOTRIPSY MALIGNANT RENAL TISSUE W/IMG GDN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4873.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4873.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4873.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4873.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9494","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9501","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9500","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9497","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9504","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q8 HRS PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9502","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q8 HRS PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ALL SPL NECES RESTOR CATH PATENCY/DECLOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5517","description":"HIT ALL SPL NECES RESTOR CATH PATENCY/DECLOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ANTI-SPASMOTIC TX; CARE SPL AND EQP PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9363","description":"HIT ANTI-SPASMOTIC TX; CARE SPL AND EQP PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ANTI-TUMOR NECROS FACTOR IV TX PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9359","description":"HIT ANTI-TUMOR NECROS FACTOR IV TX PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9503","description":"HIT ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9330","description":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9326","description":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9490","description":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT GROWTH HORMONE W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9558","description":"HIT GROWTH HORMONE W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT HYDRATION TX;  GT 1 LITER NO GT 2 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9375","description":"HIT HYDRATION TX;  GT 1 LITER NO GT 2 LITERS DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT HYDRATION TX;  GT 2 LITERS NO GT 3 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9376","description":"HIT HYDRATION TX;  GT 2 LITERS NO GT 3 LITERS DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9338","description":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9328","description":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT INTERFERON W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9559","description":"HIT INTERFERON W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9331","description":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9327","description":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT PAIN MANAGEMENT INFUSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9325","description":"HIT PAIN MANAGEMENT INFUSION; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9348","description":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TOTAL PARENTERAL NUTRIT;  GT  3 LITERS-DA -DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9368","description":"HIT TOTAL PARENTERAL NUTRIT;  GT  3 LITERS-DA -DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9364","description":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TPN;  GT  1 LITER BUT NOT  GT  2 LITERS-DA-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9366","description":"HIT TPN;  GT  1 LITER BUT NOT  GT  2 LITERS-DA-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TPN;  GT  2 LITERS BUT NOT  GT  3 LITERS-DA -DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9367","description":"HIT TPN;  GT  2 LITERS BUT NOT  GT  3 LITERS-DA -DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9347","description":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV ANTIGEN/ANTIBODY COMBINATION ASSAY SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0475","description":"HIV ANTIGEN/ANTIBODY COMBINATION ASSAY SCREENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3502F","description":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3502F","description":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3645","description":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81372","description":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81370","description":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86825","description":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86826","description":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81378","description":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81374","description":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81383","description":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81375","description":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81377","description":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN FAM W PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96154","description":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN FAM W PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0321","description":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4224","description":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/INHAL/NEBULIZR; W/O MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8100","description":"HOLDING CHAMB/SPACR W/INHAL/NEBULIZR; W/O MASK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM HLTH AIDE/CERT NURSE ASST PROV CARE HOM;-HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9122","description":"HOM HLTH AIDE/CERT NURSE ASST PROV CARE HOM;-HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9365","description":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM TX HD; ADMIN PROF PHRM SRVC SPL AND EQP PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9335","description":"HOM TX HD; ADMIN PROF PHRM SRVC SPL AND EQP PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9590","description":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9061","description":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING FAMILY; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5110","description":"HOME CARE TRAINING FAMILY; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING FAMILY; PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5111","description":"HOME CARE TRAINING FAMILY; PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5108","description":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5109","description":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5115","description":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING NON-FAMILY; PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5116","description":"HOME CARE TRAINING NON-FAMILY; PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5170","description":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5180","description":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5181","description":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0320","description":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS THERAPY HYDRATION TX;  GT 3 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9377","description":"HOME INFUS THERAPY HYDRATION TX;  GT 3 LITERS DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5035","description":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5521","description":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9346","description":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5502","description":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5501","description":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5497","description":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5498","description":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9336","description":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX INSERT MIDLINE CVC NRS SRVC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5523","description":"HOME INFUS TX INSERT MIDLINE CVC NRS SRVC ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX INSERT PICC NRS SRVC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5522","description":"HOME INFUS TX INSERT PICC NRS SRVC ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5518","description":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CHELATION;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9355","description":"HOME INFUSION THERAPY CHELATION;  PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9351","description":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9353","description":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY DIURETIC IV TX;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9361","description":"HOME INFUSION THERAPY DIURETIC IV TX;  PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY HYDRATION TX;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9373","description":"HOME INFUSION THERAPY HYDRATION TX;  PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9374","description":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9379","description":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5036","description":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY TOCOLYTIC;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9349","description":"HOME INFUSION THERAPY TOCOLYTIC;  PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5520","description":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9345","description":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9329","description":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ENZYME REPL IV TX;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9357","description":"HOME INFUSION TX ENZYME REPL IV TX;  PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9542","description":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INJ TX PLV/OTHER MAB FOR RSV  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9562","description":"HOME INJ TX PLV/OTHER MAB FOR RSV  PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9560","description":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9214","description":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9213","description":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9208","description":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9212","description":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9211","description":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9209","description":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MODIFICATIONS; PER SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5165","description":"HOME MODIFICATIONS; PER SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME OR SKILLED NURSING FACILITY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9529","description":"HOME OR SKILLED NURSING FACILITY PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9370","description":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY INTERMITTENT ANTICOAGULANT INJ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9372","description":"HOME THERAPY INTERMITTENT ANTICOAGULANT INJ TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9340","description":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9810","description":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9339","description":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9538","description":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9537","description":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9343","description":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9341","description":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9342","description":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME UTERINE MONITOR W/WO ASSOC NURSING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9001","description":"HOME UTERINE MONITOR W/WO ASSOC NURSING SERVICES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94005","description":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT ASSISTANCE DAILY LIV AND PRSONAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99509","description":"HOME VISIT ASSISTANCE DAILY LIV AND PRSONAL CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT CARE AND MAINT CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99507","description":"HOME VISIT CARE AND MAINT CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT FECAL IMPACTION MGMT AND ENEMA ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99511","description":"HOME VISIT FECAL IMPACTION MGMT AND ENEMA ADMN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT FOR WOUND CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9097","description":"HOME VISIT FOR WOUND CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99512","description":"HOME VISIT HEMODIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT INDIV FAM/MARRIAGE COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99510","description":"HOME VISIT INDIV FAM/MARRIAGE COUNSELING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT INTRAMUSCULAR INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99506","description":"HOME VISIT INTRAMUSCULAR INJECTIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT MECHANICAL VENTILATION CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99504","description":"HOME VISIT MECHANICAL VENTILATION CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEWBORN CARE  AND  ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99502","description":"HOME VISIT NEWBORN CARE  AND  ASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9098","description":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT POSTNATAL ASSMT AND F-UP CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99501","description":"HOME VISIT POSTNATAL ASSMT AND F-UP CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT PRENATAL MONITORING  AND  ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99500","description":"HOME VISIT PRENATAL MONITORING  AND  ASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT RESPIRATORY THERAPY CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99503","description":"HOME VISIT RESPIRATORY THERAPY CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT STOMA CARE AND MAINT CLST AND CSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99505","description":"HOME VISIT STOMA CARE AND MAINT CLST AND CSTOST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMEMAKER SERVICE NOS; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5130","description":"HOMEMAKER SERVICE NOS; PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMEMAKER SERVICE NOS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5131","description":"HOMEMAKER SERVICE NOS; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED INSTITUTIONAL TYPE: W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0270","description":"HOSP BED INSTITUTIONAL TYPE: W/MATTRSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9126","description":"HOSPICE CARE IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5008","description":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV LONG TERM CARE FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5007","description":"HOSPICE CARE PROV LONG TERM CARE FACILITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV NURSING LTC FACL/NON-SKILL NF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5003","description":"HOSPICE CARE PROV NURSING LTC FACL/NON-SKILL NF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0337","description":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5010","description":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES PROV PT ANY TIME DURING PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1191","description":"HOSPICE SERVICES PROV PT ANY TIME DURING PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1303","description":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1159","description":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE/HOME HEALTH CARE IN ASSISTED LIVING FACL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5002","description":"HOSPICE/HOME HEALTH CARE IN ASSISTED LIVING FACL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE/HOME HEALTH CARE PROV PT HOME/RESIDENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5001","description":"HOSPICE/HOME HEALTH CARE PROV PT HOME/RESIDENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE/HOME HEALTH CARE PROVIDED IN PLACE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5009","description":"HOSPICE/HOME HEALTH CARE PROVIDED IN PLACE NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99026","description":"HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99027","description":"HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OBSERVATION SERVICE PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0378","description":"HOSPITAL OBSERVATION SERVICE PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OR AMBULATORY SURGICAL CENTER CALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9420","description":"HOSPITAL OR AMBULATORY SURGICAL CENTER CALL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS  AND  MGMT PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0463","description":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS  AND  MGMT PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIST SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0310","description":"HOSPITALIST SERVICES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALISTS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4009","description":"HOSPITALISTS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUSE/EXTENDED CARE FACILITY CALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9410","description":"HOUSE/EXTENDED CARE FACILITY CALL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV E6/E7 MRK HI-RSK TYPE CRV CLL BCC HYBRDZTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0502U","description":"HPV E6/E7 MRK HI-RSK TYPE CRV CLL BCC HYBRDZTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV HIGH RISK TYPES MALE URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0096U","description":"HPV HIGH RISK TYPES MALE URINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0429U","description":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI DETECTION  AND  ANTIBIOTIC RESISTANCE DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0008U","description":"HPYLORI DETECTION  AND  ANTIBIOTIC RESISTANCE DNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRV SKIN FOR SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15011","description":"HRV SKIN FOR SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRV SKIN FOR SKIN CELL SSP AGRFT EA ADDL 25 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15012","description":"HRV SKIN FOR SKIN CELL SSP AGRFT EA ADDL 25 SQCM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0398","description":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0399","description":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0400","description":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HSV 1 and 2 VZV AMPLIFIED PROBE TQ EACH PATHOGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0527U","description":"HSV 1 and 2 VZV AMPLIFIED PROBE TQ EACH PATHOGEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0555","description":"HUMDIFIR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7327","description":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7327","description":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7331","description":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7331","description":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7332","description":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7332","description":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPNOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90880","description":"HYPNOTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I  AND  D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7521","description":"I  AND  D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I  AND  D ABSCESS INTRAORAL SOFT TISSUE  COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7511","description":"I  AND  D ABSCESS INTRAORAL SOFT TISSUE  COMPLICATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and CUST PREP JAW XPNSJ ORAL PROSTH 1 ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0964T","description":"I and CUST PREP JAW XPNSJ ORAL PROSTH 1 ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and CUST PREP JAW XPNSJ ORAL PROSTH DUAL ARCH FXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0966T","description":"I and CUST PREP JAW XPNSJ ORAL PROSTH DUAL ARCH FXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and CUST PREP JAW XPNSJ ORAL PROSTH DUAL ARCH N-FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0965T","description":"I and CUST PREP JAW XPNSJ ORAL PROSTH DUAL ARCH N-FX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87809","description":"IAADIADOO ADENOVIRUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87809","description":"IAADIADOO ADENOVIRUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADI TRGT SEQ ALYS 16S AND 18S RRNA GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0112U","description":"IADI TRGT SEQ ALYS 16S AND 18S RRNA GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA HENSELAE  and  QUINTANA DDPCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0301U","description":"IADNA BARTONELLA HENSELAE  and  QUINTANA DDPCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BRTNLA HNSLAE and QUINTN DDPCR FLWG LIQ NRCHMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0302U","description":"IADNA BRTNLA HNSLAE and QUINTN DDPCR FLWG LIQ NRCHMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CNS PATHOGEN NEXT-GENERATION SEQUENCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0323U","description":"IADNA CNS PATHOGEN NEXT-GENERATION SEQUENCING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GU PTHGN 20BCT and FNGL ORG and ID 16 ABX RSIST GN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0321U","description":"IADNA GU PTHGN 20BCT and FNGL ORG and ID 16 ABX RSIST GN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87627","description":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA VAG PTHGN PNL 27 ORG AMP PROBE VAG SWAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0330U","description":"IADNA VAG PTHGN PNL 27 ORG AMP PROBE VAG SWAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ID ASPERGILLUS DNA 4 SPECIES BLD LVG FLU/TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0109U","description":"ID ASPERGILLUS DNA 4 SPECIES BLD LVG FLU/TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH1 IDH2 and TERT PROMOTER CNS TUMORS NGS S/D/I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0481U","description":"IDH1 IDH2 and TERT PROMOTER CNS TUMORS NGS S/D/I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IEM PMD MITOCHDRL ALYS 4 NZM CPLX BLUE NT PAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0614U","description":"IEM PMD MITOCHDRL ALYS 4 NZM CPLX BLUE NT PAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IG PARAPROTEIN QUAL IMPRCIP and MS BLD/UR W/ISOTYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0077U","description":"IG PARAPROTEIN QUAL IMPRCIP and MS BLD/UR W/ISOTYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PANDEMIC ADJUVANT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90667","description":"IIV VACCINE PANDEMIC ADJUVANT FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90668","description":"IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90689","description":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0278","description":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90461","description":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90461","description":"IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 16-30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0314","description":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 16-30 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 5-15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0315","description":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 5-15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/OTH Q HCP VAC NA SAME DOS 16-30 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0311","description":"IM CNSLG PHYS/OTH Q HCP VAC NA SAME DOS 16-30 MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/OTH Q HCP VAC NA SAME DOS 5-15 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0310","description":"IM CNSLG PHYS/OTH Q HCP VAC NA SAME DOS 5-15 MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0312","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0313","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM POST SUR/EA FTG APP RGD DRSG and 1 C CHG PAR HND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6037","description":"IM POST SUR/EA FTG APP RGD DRSG and 1 C CHG PAR HND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0339","description":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0340","description":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 3RD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0083A","description":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 3RD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0091A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0092A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0093A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90481","description":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5140","description":"IMMEDIATE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5130","description":"IMMEDIATE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE MAND PRTL DENTURE - CAST MTL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5224","description":"IMMEDIATE MAND PRTL DENTURE - CAST MTL FRAMEWORK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE MANDIBULAR PRTL DENTURE - RESIN BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5222","description":"IMMEDIATE MANDIBULAR PRTL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE MAX PRTL DENTURE - CAST METAL FRAMEWRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5223","description":"IMMEDIATE MAX PRTL DENTURE - CAST METAL FRAMEWRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE MAXILLARY PARTIAL DENTURE - RESIN BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5221","description":"IMMEDIATE MAXILLARY PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90284","description":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IG HUMAN IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90281","description":"IMMUNE GLOBULIN IG HUMAN IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IGIV HUMAN IV USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90283","description":"IMMUNE GLOBULIN IGIV HUMAN IV USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATION COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1301","description":"IMMUNIZATION COUNSELING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOHISTOCHEMICAL STAINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0478","description":"IMMUNOHISTOCHEMICAL STAINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0732T","description":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2230","description":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL MNT FULL AR FXD HYB PROS IS REM  and  REINSUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6080","description":"IMPL MNT FULL AR FXD HYB PROS IS REM  and  REINSUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL MNT FULL ARCH REM IMPL/ABUT SPT REM  and  REINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6280","description":"IMPL MNT FULL ARCH REM IMPL/ABUT SPT REM  and  REINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9899","description":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6120","description":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6119","description":"IMPL/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6118","description":"IMPL/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6115","description":"IMPL/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6117","description":"IMPL/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6114","description":"IMPL/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6116","description":"IMPL/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6110","description":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6111","description":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6113","description":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6112","description":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT MEDIAL KNEE EXTRAART IMPLANT SHOCK ABS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8003","description":"IMPLANT MEDIAL KNEE EXTRAART IMPLANT SHOCK ABS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8686","description":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8685","description":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8688","description":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8687","description":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6083","description":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6066","description":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6082","description":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6076","description":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6077","description":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6121","description":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETAIN METAL FPD - TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6123","description":"IMPLANT SUPP RETAIN METAL FPD - TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6122","description":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6098","description":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6099","description":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6067","description":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6087","description":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - PORCELN FU TI  AND  TI ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6084","description":"IMPLANT SUPPORTED CROWN - PORCELN FU TI  AND  TI ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6086","description":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - TI  AND  TI ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6088","description":"IMPLANT SUPPORTED CROWN - TI  AND  TI ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6065","description":"IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6075","description":"IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT-MANDIBLE AUGMENTATION PURPOSES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7996","description":"IMPLANT-MANDIBLE AUGMENTATION PURPOSES BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8680","description":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8679","description":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8682","description":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE/INSERTABLE DEVICE NOT OTRW CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1889","description":"IMPLANTABLE/INSERTABLE DEVICE NOT OTRW CLASS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2235","description":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION SUBQ PERITONEAL ASCITES PUMP SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0870T","description":"IMPLANTATION SUBQ PERITONEAL ASCITES PUMP SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT MNT PROC WN FULL AR FXD HYB PROS NOT REM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6180","description":"IMPLNT MNT PROC WN FULL AR FXD HYB PROS NOT REM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66683","description":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0437T","description":"IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0395","description":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0058","description":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN GNOTYP GENE ANALYSIS CD44 EXONS 2 3 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0191U","description":"IN GNOTYP GENE ANALYSIS CD44 EXONS 2 3 6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1167","description":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN VITRO FERTILIZATION;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4011","description":"IN VITRO FERTILIZATION;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-HOME RESPITE CARE 4-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0529","description":"IN-HOME RESPITE CARE 4-HOUR UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-OFFICE ADM MIN SEDATION SINGLE DRUG ENTERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9244","description":"IN-OFFICE ADM MIN SEDATION SINGLE DRUG ENTERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9552","description":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9552","description":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE ABSCESS-EXTRAORAL SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7520","description":"INCISION  AND  DRAINAGE ABSCESS-EXTRAORAL SOFT TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE ABSCESS-INTRAORAL SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7510","description":"INCISION  AND  DRAINAGE ABSCESS-INTRAORAL SOFT TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS COMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10120","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10120","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10060","description":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10060","description":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10121","description":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN  AND  LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN  AND  LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3332","description":"INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4545","description":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4017","description":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1340","description":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1359","description":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEXING OT USING DYN ROB ASST/DYN NAVIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7939","description":"INDEXING OT USING DYN ROB ASST/DYN NAVIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIRECT IMMUNOFLUORESCENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0483","description":"INDIRECT IMMUNOFLUORESCENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 17 TO 24 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2260","description":"INDUCED ABORTION 17 TO 24 WEEKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 25 TO 28 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2265","description":"INDUCED ABORTION 25 TO 28 WEEKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 29 TO 31 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2266","description":"INDUCED ABORTION 29 TO 31 WEEKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 32 WEEKS OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2267","description":"INDUCED ABORTION 32 WEEKS OR GREATER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT AB DETECT EIA TECH HIV-1 and /HIV-2 SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0432","description":"INF AGT AB DETECT EIA TECH HIV-1 and /HIV-2 SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1/-2 SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0435","description":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1/-2 SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT DETECT DNA/RNA; HPV PERF ADD TO PAP TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0476","description":"INF AGT DETECT DNA/RNA; HPV PERF ADD TO PAP TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF ANTIBODY ELISA TECH HIV-1  and /OR HIV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0433","description":"INF ANTIBODY ELISA TECH HIV-1  and /OR HIV-2 SCREEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9447","description":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTION CONTROL SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8301","description":"INFECTION CONTROL SUPPLIES NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87905","description":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGT DETECTION NUCLEIC ACID; HEP C SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0567","description":"INFECTIOUS AGT DETECTION NUCLEIC ACID; HEP C SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS DISEASE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4010","description":"INFECTIOUS DISEASE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9613","description":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1299","description":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1300","description":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1308","description":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACCINE ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1720","description":"INFLUENZA VACCINE ADMINISTRATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90666","description":"INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRARED HEATING PAD SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0221","description":"INFRARED HEATING PAD SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0081","description":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9046","description":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9046","description":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9047","description":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9047","description":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9045","description":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9045","description":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9041","description":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9041","description":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.62,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.56,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.56,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.52,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.52,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.19,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.19,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.36,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9048","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9048","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9043","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9043","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.5,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0402","description":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT PSYCHIATRIC COLLAB CARE MGMT FIRST CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0568","description":"INIT PSYCHIATRIC COLLAB CARE MGMT FIRST CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NRS VRS OR ITCHYQUANT ASMT SCORE  GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1204","description":"INITIAL NRS VRS OR ITCHYQUANT ASMT SCORE  GT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE  GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1196","description":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE  GT or equal t","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64654","description":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0245","description":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PLMT DRUG ELUTING OCULAR INSERT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0444T","description":"INITIAL PLMT DRUG ELUTING OCULAR INSERT UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99184","description":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1143","description":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT YSZY OPUVIZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5153","description":"INJ AFLIBERCEPT YSZY OPUVIZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.49,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.57,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8607","description":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.96,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7169","description":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0840","description":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0840","description":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1841.02,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.02,"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":"both","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.02,"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":"both","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.23,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.44,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.44,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.14,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.14,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.88,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.28,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.28,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9028","description":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9028","description":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9968","description":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9968","description":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.69,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.17,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0145","description":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0145","description":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.96,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.96,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.09,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROC SI JNT;ANES STEROID and /TX AGT and ARTHROGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0260","description":"INJ PROC SI JNT;ANES STEROID and /TX AGT and ARTHROGRPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.33,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.26,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.52,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0211","description":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.94,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2125.64,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0040","description":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0040","description":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB HP PT 2 YRS  and   GT  COVID-19 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0249","description":"INJ TOCILIZUMAB HP PT 2 YRS  and   GT  COVID-19 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB HP PT 2 YRS  and   GT  COVID-19 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0249","description":"INJ TOCILIZUMAB HP PT 2 YRS  and   GT  COVID-19 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB-AAZG HOSP ADL PT W COVID-19 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0238","description":"INJ TOCILIZUMAB-AAZG HOSP ADL PT W COVID-19 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB-AAZG HOSP ADL PT W COVID-19 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0238","description":"INJ TOCILIZUMAB-AAZG HOSP ADL PT W COVID-19 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5155","description":"INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9021","description":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9021","description":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1643","description":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1643","description":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0224","description":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0224","description":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8604","description":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  NATALIZUMAB  1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2323","description":"INJECTION  NATALIZUMAB  1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  NATALIZUMAB  1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2323","description":"INJECTION  NATALIZUMAB  1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.51,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.59,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0139","description":"INJECTION ADALIMUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0139","description":"INJECTION ADALIMUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5144","description":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5141","description":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5143","description":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5145","description":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5140","description":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5142","description":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.58,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT ABZV ENZEEVU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5149","description":"INJECTION AFLIBERCEPT ABZV ENZEEVU BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT MRBB AHZANTIVE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5150","description":"INJECTION AFLIBERCEPT MRBB AHZANTIVE BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9015","description":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4683.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4683.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9015","description":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4683.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4683.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.37,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.09,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.09,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.69,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.59,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.26,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.26,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.33,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.33,"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":null,"billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.3,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.3,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.81,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.72,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.71,"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":"J8502","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.95,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.71,"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":"J8502","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.55,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.04,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.47,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.47,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5160","description":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5160","description":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7351","description":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7351","description":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1632","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1632","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0666","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0666","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.21,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9278","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9308","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9278","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0675","description":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0675","description":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOPERAZONE SODIUM 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0021","description":"INJECTION CEFOPERAZONE SODIUM 1 GM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.74,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.75,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.47,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0681","description":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5246.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5246.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1201","description":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1201","description":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.65,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.65,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.1,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.1,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.13,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.13,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.77,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.79,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.79,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.1,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0023","description":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0023","description":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.15,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.37,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.92,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.92,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSIBELIMAB IPDL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9275","description":"INJECTION COSIBELIMAB IPDL 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.65,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.59,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.79,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.06,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.06,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.02,"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":"both","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.02,"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":"both","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.58,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9161","description":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5159","description":"INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-KYQQ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5161","description":"INJECTION DENOSUMAB-KYQQ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-KYQQ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5161","description":"INJECTION DENOSUMAB-KYQQ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5162","description":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5162","description":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEOXYCHOLIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0591","description":"INJECTION DEOXYCHOLIC ACID 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.54,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.01,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.01,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.51,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.51,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.37,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.37,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5166.99,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5166.99,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.72,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.72,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.41,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.41,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":749.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.23,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":749.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.23,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.61,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.86,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.86,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.14,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.86,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.21,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6209.68,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELIVALDOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3387","description":"INJECTION ELIVALDOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.74,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.65,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.55,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.76,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.23,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.23,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.45,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.45,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.76,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHACRYNATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1807","description":"INJECTION ETHACRYNATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHACRYNATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1807","description":"INJECTION ETHACRYNATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.63,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.63,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.02,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETOPOSIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9181","description":"INJECTION ETOPOSIDE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETOPOSIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9181","description":"INJECTION ETOPOSIDE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.94,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.3,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.19,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1442","description":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1442","description":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5148","description":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5148","description":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4254.92,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.48,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUORESCEIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9612","description":"INJECTION FLUORESCEIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLLITROPIN ALFA 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0126","description":"INJECTION FOLLITROPIN ALFA 75 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLLITROPIN BETA 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0128","description":"INJECTION FOLLITROPIN BETA 75 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.86,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.63,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.36,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSPHENYTOIN SODIUM 750 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0078","description":"INJECTION FOSPHENYTOIN SODIUM 750 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSPHENYTOIN SODIUM 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0078","description":"INJECTION FOSPHENYTOIN SODIUM 750 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FREMANEZUMAB-VFRM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3031","description":"INJECTION FREMANEZUMAB-VFRM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1941","description":"INJECTION FUROSEMIDE 20 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1941","description":"INJECTION FUROSEMIDE 20 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOFOSVESET TRISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9583","description":"INJECTION GADOFOSVESET TRISODIUM 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOFOSVESET TRISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9583","description":"INJECTION GADOFOSVESET TRISODIUM 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9581","description":"INJECTION GADOXETATE DISODIUM 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9581","description":"INJECTION GADOXETATE DISODIUM 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1560","description":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1560","description":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.92,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.05,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANIRELIX ACETATE 250 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0132","description":"INJECTION GANIRELIX ACETATE 250 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.17,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.17,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.29,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON GVOKE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1612","description":"INJECTION GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON GVOKE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1612","description":"INJECTION GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.86,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.79,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.31,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1675","description":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1675","description":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3473","description":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3473","description":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.81,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.81,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0092","description":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0092","description":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3425","description":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3425","description":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1726","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1726","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.4,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.17,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.17,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1553","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1553","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1552","description":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1552","description":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.73,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.69,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INDIGOTINDISULFONATE SODIUM 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9220","description":"INJECTION INDIGOTINDISULFONATE SODIUM 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9213","description":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9213","description":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":936.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":936.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.25,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.11,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRONBASED MR CONTRAST AGENT PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9953","description":"INJECTION IRONBASED MR CONTRAST AGENT PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRONBASED MR CONTRAST AGENT PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9953","description":"INJECTION IRONBASED MR CONTRAST AGENT PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISAVUCONAZONIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1833","description":"INJECTION ISAVUCONAZONIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISAVUCONAZONIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1833","description":"INJECTION ISAVUCONAZONIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.06,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.88,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.22,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0691","description":"INJECTION LEFAMULIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.84,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.57,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0642","description":"INJECTION LEVOLEUCOVORIN 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0642","description":"INJECTION LEVOLEUCOVORIN 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.41,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.4,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.4,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.74,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9601","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9307","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9601","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIOTHYRONINE 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0654","description":"INJECTION LIOTHYRONINE 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIOTHYRONINE 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0654","description":"INJECTION LIOTHYRONINE 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.2,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.66,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECHLORETHAMINE HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9230","description":"INJECTION MECHLORETHAMINE HCL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECHLORETHAMINE HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9230","description":"INJECTION MECHLORETHAMINE HCL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM AZURITY 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1737","description":"INJECTION MELOXICAM AZURITY 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM DELOVA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1736","description":"INJECTION MELOXICAM DELOVA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN APOTEX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9249","description":"INJECTION MELPHALAN APOTEX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN APOTEX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9249","description":"INJECTION MELPHALAN APOTEX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.94,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MENOTROPINS 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0122","description":"INJECTION MENOTROPINS 75 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.75,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.01,"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"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.01,"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"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.7,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.7,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.7,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.54,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.61,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2253","description":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MINOCYCLINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2265","description":"INJECTION MINOCYCLINE HCL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MINOCYCLINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2265","description":"INJECTION MINOCYCLINE HCL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MONOCLONAL ANTIBODY NOC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0235","description":"INJECTION MONOCLONAL ANTIBODY NOC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.38,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2274","description":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2274","description":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2291","description":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2291","description":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.25,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.75,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.92,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.76,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.62,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.81,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.6,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRIPLASMIN 0.125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7316","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRIPLASMIN 0.125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7316","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9956","description":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9956","description":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLARATUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLARATUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLICERIDINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9101","description":"INJECTION OLICERIDINE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9262","description":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9262","description":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.5,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.92,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.57,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.22,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.22,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.85,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.18,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.72,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.99,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.42,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2472","description":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.87,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.87,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.02,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.3,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.52,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.52,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.62,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5127","description":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5127","description":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGINESATIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0890","description":"INJECTION PEGINESATIDE 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGULICIANINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9615","description":"INJECTION PEGULICIANINE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0148","description":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0148","description":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9277","description":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9277","description":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.13,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.25,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.39,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERAMIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2547","description":"INJECTION PERAMIVIR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERAMIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2547","description":"INJECTION PERAMIVIR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9957","description":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9957","description":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.56,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.56,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PIPERACILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0081","description":"INJECTION PIPERACILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PIPERACILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0081","description":"INJECTION PIPERACILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.23,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23323.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23323.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23323.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23323.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POSTERIOR CHAMBER EYE MEDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0699T","description":"INJECTION POSTERIOR CHAMBER EYE MEDICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.11,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.72,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.7,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.7,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.53,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0259","description":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2704","description":"INJECTION PROPOFOL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2704","description":"INJECTION PROPOFOL 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.67,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.05,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.56,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.56,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.97,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RADIESSE 0.1ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2026","description":"INJECTION RADIESSE 0.1ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB  0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2778","description":"INJECTION RANIBIZUMAB  0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB  0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2778","description":"INJECTION RANIBIZUMAB  0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5128","description":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5128","description":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.37,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.37,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMDESIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0248","description":"INJECTION REMDESIVIR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMDESIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0248","description":"INJECTION REMDESIVIR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.53,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3021.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3021.04,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3021.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3021.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.1,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.29,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2802","description":"INJECTION ROMIPLOSTIM 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2802","description":"INJECTION ROMIPLOSTIM 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9317","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9317","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.98,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.89,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCULPTRA 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2028","description":"INJECTION SCULPTRA 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.81,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.08,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.13,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0209","description":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0208","description":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0208","description":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.73,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.05,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.26,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.95,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.44,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.96,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.96,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.84,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1072","description":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1072","description":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.13,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.54,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.54,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.82,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.81,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.55,"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":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.55,"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":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.07,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.26,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.44,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.21,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.19,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.49,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.6,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.18,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.19,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5137","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9996","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.57,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.57,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5154","description":"INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2510","description":"INLAY - METALLIC - ONE SURFACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - THREE OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2530","description":"INLAY - METALLIC - THREE OR MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2520","description":"INLAY - METALLIC - TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2610","description":"INLAY - PORCELAIN/CERAMIC - ONE SURFACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2630","description":"INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2620","description":"INLAY - PORCELAIN/CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2981","description":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2652","description":"INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2650","description":"INLAY RESIN BASED COMPOSITE ONE SURFACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2651","description":"INLAY RESIN BASED COMPOSITE TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2001","description":"INNOVAMATRIX AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2039","description":"INNOVAMATRIX FD PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2013","description":"INNOVAMATRIX FS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0448","description":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSEMINATION OOCYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89268","description":"INSEMINATION OOCYTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0253T","description":"INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NEW/REPLC PERM PCM ATRIAL TV ELECTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7537","description":"INSERTION NEW/REPLC PERM PCM ATRIAL TV ELECTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NEW/REPLC PERM PCM VENT TV ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7538","description":"INSERTION NEW/REPLC PERM PCM VENT TV ELECTRODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NEW/REPLC PPM ATRIAL  and  VENT TV ELECTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7539","description":"INSERTION NEW/REPLC PPM ATRIAL  and  VENT TV ELECTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION OF SINUS TARSI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0335T","description":"INSERTION OF SINUS TARSI IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0916T","description":"INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PLEURAL-PERITONEAL SHUNT W/INTCL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8006","description":"INSERTION PLEURAL-PERITONEAL SHUNT W/INTCL PUMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61889","description":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WRLS CAR STIMULATOR LV PACG BTH COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517T","description":"INSERTION WRLS CAR STIMULATOR LV PACG BTH COMPNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0515T","description":"INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516T","description":"INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/REPLACEMENT COMPLETE IIMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525T","description":"INSERTION/REPLACEMENT COMPLETE IIMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/REPLACEMENT IIMS ELECTRODE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526T","description":"INSERTION/REPLACEMENT IIMS ELECTRODE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/REPLACEMENT IIMS IMPLANTABLE MNTR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0527T","description":"INSERTION/REPLACEMENT IIMS IMPLANTABLE MNTR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/RPLCMT EPICRANIAL NEUROSTIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0968T","description":"INSERTION/RPLCMT EPICRANIAL NEUROSTIMULATOR SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ANT SGM DRG DEV TRAB MW W/O RES and CTRC RMVL1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0671T","description":"INSJ ANT SGM DRG DEV TRAB MW W/O RES and CTRC RMVL1 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0450T","description":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0449T","description":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0308T","description":"INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54400","description":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54401","description":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0917T","description":"INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0918T","description":"INSJ PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERM CCM-D SYS PG and DUAL TRANSVNS ELTRDS/LDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0915T","description":"INSJ PERM CCM-D SYS PG and DUAL TRANSVNS ELTRDS/LDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68841","description":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0572T","description":"INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51721","description":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ and SCLERAL FIXATION CAPSULAR BAG PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0996T","description":"INSJ and SCLERAL FIXATION CAPSULAR BAG PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0408T","description":"INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0411T","description":"INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0410T","description":"INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0409T","description":"INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0571T","description":"INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64597","description":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64596","description":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0786T","description":"INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0784T","description":"INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0680T","description":"INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4981","description":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4439","description":"INSTAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9589","description":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9589","description":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.33,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN  GT 12 WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN  GT 12 WK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.2,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5565","description":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5566","description":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5570","description":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5571","description":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5560","description":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5561","description":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN INTERMEDIATE ACTING; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5552","description":"INSULIN INTERMEDIATE ACTING; 5 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LONG ACTING; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5553","description":"INSULIN LONG ACTING; 5 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN MOST RAPID ONSET; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5551","description":"INSULIN MOST RAPID ONSET; 5 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9145","description":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN RAPID ONSET; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5550","description":"INSULIN RAPID ONSET; 5 UNITS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN SYRINGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8490","description":"INSULIN SYRINGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0590","description":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE OP SERV WEEK BUND MIN 9 SERV OVER 7DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0137","description":"INTENSIVE OP SERV WEEK BUND MIN 9 SERV OVER 7DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3470","description":"INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0391","description":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERBODY CAGE ANT LATERAL/POSTERIOR PRSNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1831","description":"INTERBODY CAGE ANT LATERAL/POSTERIOR PRSNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8130","description":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8131","description":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM COMPLETE DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5811","description":"INTERIM COMPLETE DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM COMPLETE DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5810","description":"INTERIM COMPLETE DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM CR-FUR TX/COMPL DX NES PRI FINAL IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2799","description":"INTERIM CR-FUR TX/COMPL DX NES PRI FINAL IMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM IMPLANT CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6085","description":"INTERIM IMPLANT CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM PARTIAL DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5821","description":"INTERIM PARTIAL DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM PARTIAL DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5820","description":"INTERIM PARTIAL DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT LIMB COMPRESSION DEVICE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0676","description":"INTERMITTENT LIMB COMPRESSION DEVICE NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL BLEACHING - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9974","description":"INTERNAL BLEACHING - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4011","description":"INTERNAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL ROOT REPAIR OF PERFORATION DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3333","description":"INTERNAL ROOT REPAIR OF PERFORATION DEFECTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90887","description":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0418T","description":"INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL IMPL CCM-D SYSTEM IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0927T","description":"INTERROG DEV EVAL IMPL CCM-D SYSTEM IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521T","description":"INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93146","description":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP W/","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP WO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93145","description":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP WO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93152","description":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0576T","description":"INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION DEVICE EVAL IIMS IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0529T","description":"INTERROGATION DEVICE EVAL IIMS IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION DEVICE EVALUATION IN PERSON ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0685T","description":"INTERROGATION DEVICE EVALUATION IN PERSON ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1821","description":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4012","description":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERVENTIONAL RADIOLOGY MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1499","description":"INTERVENTIONAL RADIOLOGY MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRABUC SC DEL OF AM RF EMF DVC FOR CANCER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0767","description":"INTRABUC SC DEL OF AM RF EMF DVC FOR CANCER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRADERMAL CANCER IMMNTX EACH ADDL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0709T","description":"INTRADERMAL CANCER IMMNTX EACH ADDL INJECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRADERMAL CANCER IMMNTX PREP  and  1ST INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0708T","description":"INTRADERMAL CANCER IMMNTX PREP  and  1ST INJECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0100","description":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1225","description":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1224","description":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRESS REDUCED  GT EQUAL 15 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"INTRAOCULAR PRESS REDUCED  GT EQUAL 15 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP ASMT ABNL TUM TIS IN-VIVO FLWG PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0945T","description":"INTRAOP ASMT ABNL TUM TIS IN-VIVO FLWG PRTL MAST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0351T","description":"INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP THER ESTIM PERIPHERAL NRV 1ST NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0882T","description":"INTRAOP THER ESTIM PERIPHERAL NRV 1ST NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP THER ESTIM PERIPHERAL NRV EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0883T","description":"INTRAOP THER ESTIM PERIPHERAL NRV EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE NERVE CRYO POST-SURG PAIN RELIEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0571","description":"INTRAOPERATIVE NERVE CRYO POST-SURG PAIN RELIEF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0708","description":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - COMP SERIES OF RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0210","description":"INTRAORAL - COMP SERIES OF RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0706","description":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0240","description":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0230","description":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0220","description":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0707","description":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W/FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7998","description":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W/FX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL-COMP SERIES RAD IMG-IMG CAPTURE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0709","description":"INTRAORAL-COMP SERIES RAD IMG-IMG CAPTURE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0523T","description":"INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0481","description":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE MIUDELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7299","description":"INTRAUTERINE COPPER CONTRACEPTIVE MIUDELLA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVAG DVC INTND TO STRENGTH PFM DUR KEGEL EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0715","description":"INTRAVAG DVC INTND TO STRENGTH PFM DUR KEGEL EX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR IMG ICR CEREBRAL VSL OCT 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0986T","description":"INTRAVASCULAR IMG ICR CEREBRAL VSL OCT 1ST VSL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR IMG ICR CEREBRAL VSL OCT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0987T","description":"INTRAVASCULAR IMG ICR CEREBRAL VSL OCT EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR IMG XTRC CEREBRAL VSL OCT 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0984T","description":"INTRAVASCULAR IMG XTRC CEREBRAL VSL OCT 1ST VSL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR IMG XTRC CEREBRAL VSL OCT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0985T","description":"INTRAVASCULAR IMG XTRC CEREBRAL VSL OCT EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUS TOCILIZUMAB-AAZG SECOND DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0234","description":"INTRAVENOUS INFUS TOCILIZUMAB-AAZG SECOND DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUS TOCILIZUMAB-AAZG SECOND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0234","description":"INTRAVENOUS INFUS TOCILIZUMAB-AAZG SECOND DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION TOCILIZUMAB-AAZG FIRST DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0233","description":"INTRAVENOUS INFUSION TOCILIZUMAB-AAZG FIRST DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION TOCILIZUMAB-AAZG FIRST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0233","description":"INTRAVENOUS INFUSION TOCILIZUMAB-AAZG FIRST DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVERTEBRAL BODY FRACTURE AUG WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1062","description":"INTRAVERTEBRAL BODY FRACTURE AUG WITH IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRM PONTIC-FUR TX/CMPL DX NEC B4 FINAL IMPRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6253","description":"INTRM PONTIC-FUR TX/CMPL DX NEC B4 FINAL IMPRESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRM RET CRWN-FUR TX/CMPL DX NEC B4 FINL IMPRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6793","description":"INTRM RET CRWN-FUR TX/CMPL DX NEC B4 FINL IMPRSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0529F","description":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0529F","description":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INVERSION/EVERSION CORRECTION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9285","description":"INVERSION/EVERSION CORRECTION DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9776","description":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3284F","description":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9582","description":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":793.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9582","description":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":793.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95940","description":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1226","description":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3285F","description":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3285F","description":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0549","description":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0547","description":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0548","description":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0546","description":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0551","description":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.878,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2004","description":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2004","description":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.8,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET  GT or equal to 3 HRS PRIOR ARR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SYMP ONSET  GT or equal to 3 HRS PRIOR ARR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE  LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE  LT 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2102","description":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7650","description":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7647","description":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7657","description":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1790.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.11,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1790.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.11,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1790.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.11,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1790.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7660","description":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1206","description":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1205","description":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1198","description":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1197","description":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV CHELATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0300","description":"IV CHELATION THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION MONOCLONAL ANTIBODY NOC 2ND DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0236","description":"IV INFUSION MONOCLONAL ANTIBODY NOC 2ND DOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION MONOCLONAL ANTIBODY PROD NOC 1ST DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0235","description":"IV INFUSION MONOCLONAL ANTIBODY PROD NOC 1ST DOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TCZ HP 2  and   GT  COVID-19 INC INF  and  PA MON 2ND D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0250","description":"IV TCZ HP 2  and   GT  COVID-19 INC INF  and  PA MON 2ND D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TCZ HP PT 2  and   GT  COVID-19 INC INF  and  PA MON FD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0249","description":"IV TCZ HP PT 2  and   GT  COVID-19 INC INF  and  PA MON FD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TUBING EXTENSION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1015","description":"IV TUBING EXTENSION SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4021","description":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4020","description":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 GENE ANALYSIS TRGT SEQ ALYS EXONS 12-15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0027U","description":"JAK2 GENE ANALYSIS TRGT SEQ ALYS EXONS 12-15","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90738","description":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90738","description":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JK GNOTYP GENE ANALYSIS SLC14A1 GEN PRMTR EXON 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0192U","description":"JK GNOTYP GENE ANALYSIS SLC14A1 GEN PRMTR EXON 9","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT FUSION  and  FIXN DEVICE SACROILIAC  and  PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1737","description":"JOINT FUSION  and  FIXN DEVICE SACROILIAC  and  PELVIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7858","description":"JOINT RECONSTRUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JR GNOTYP GENE ANALYSIS ABCG2 EXONS 2-26","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0193U","description":"JR GNOTYP GENE ANALYSIS ABCG2 EXONS 2-26","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2006","description":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KEL GNOTYP GENE ANALYSIS KEL EXON 8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0194U","description":"KEL GNOTYP GENE ANALYSIS KEL EXON 8","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERAMATRIX OR KERASORB PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4165","description":"KERAMATRIX OR KERASORB PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOMILEUSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65760","description":"KERATOMILEUSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65765","description":"KERATOPHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KEROXX (2.5G/CC) 1CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4202","description":"KEROXX (2.5G/CC) 1CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1510","description":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS D816 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81273","description":"KIT GENE ANALYSIS D816 VARIANT(S)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KLF1 TARGETED SEQUENCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0195U","description":"KLF1 TARGETED SEQUENCING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KLHL11 ANTB SERUM/CSF CELL BINDING ASSAY QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0432U","description":"KLHL11 ANTB SERUM/CSF CELL BINDING ASSAY QUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81276","description":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  GT or equal to  1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3084F","description":"KT/V  GT or equal to  1.7","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  GT or equal to  1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3084F","description":"KT/V  GT or equal to  1.7","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3082F","description":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3082F","description":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2  and   LT 1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2  and   LT 1.7","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2  and   LT 1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2  and   LT 1.7","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP AND WRT RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0486","description":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP AND WRT RPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAB PROC MICROB SPEC INC CULTURE  AND  SENS STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0414","description":"LAB PROC MICROB SPEC INC CULTURE  AND  SENS STUDIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER - DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2960","description":"LABIAL VENEER - DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2962","description":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER RESIN LAMINATE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2961","description":"LABIAL VENEER RESIN LAMINATE - INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAETRILE AMYGDALIN VITAMIN B17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3570","description":"LAETRILE AMYGDALIN VITAMIN B17","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90664","description":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"LANGUAGE SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5363","description":"LANGUAGE SCREENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2079","description":"LAP ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0342","description":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP SRG IMPL/RPLCMT LWR ESOPHGL SPHNCTR NEA and PG/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1013T","description":"LAP SRG IMPL/RPLCMT LWR ESOPHGL SPHNCTR NEA and PG/R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC ISLET CELL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0585T","description":"LAPAROSCOPIC ISLET CELL TRANSPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC REMOVAL LEAD PERM ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0679T","description":"LAPAROSCOPIC REMOVAL LEAD PERM ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0343","description":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43284","description":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0675T","description":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS EA ADL LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0676T","description":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS EA ADL LEAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSJ NEW/RPLCMT PERM ISDSS AGMNTJ CAR FUNCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0674T","description":"LAPS INSJ NEW/RPLCMT PERM ISDSS AGMNTJ CAR FUNCJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REPOS LEAD PERM ISDSS 1ST REPOSITIONED LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0677T","description":"LAPS REPOS LEAD PERM ISDSS 1ST REPOSITIONED LEAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REPOS LEAD PERM ISDSS EA ADDL REPOS LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0678T","description":"LAPS REPOS LEAD PERM ISDSS EA ADDL REPOS LEAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVJ/RMVL LOWER ESOPHGL SPHNCTR NSTIM ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1014T","description":"LAPS REVJ/RMVL LOWER ESOPHGL SPHNCTR NSTIM ELTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER IN SITU KERATOMILEUSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0800","description":"LASER IN SITU KERATOMILEUSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER-ASSISTED UVULOPALATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2080","description":"LASER-ASSISTED UVULOPALATOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5175","description":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2120","description":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD NEUROSTIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1778","description":"LEAD NEUROSTIMULATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"LEADLESS ELECTRODE TX BATTERY SEQ LT VAT PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1740","description":"LEADLESS ELECTRODE TX BATTERY SEQ LT VAT PACING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT I  MAXILLA TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7946","description":"LEFORT I  MAXILLA TOTAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT I MAXILLA SEGMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7947","description":"LEFORT I MAXILLA SEGMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT II/LEFORT III - W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7949","description":"LEFORT II/LEFORT III - W/BONE GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT II/LEFORT III - W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7948","description":"LEFORT II/LEFORT III - W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  GT EQUAL 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION  GT EQUAL 40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LEFT VENTRICULAR EJECTION FRACTION  LT  40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9949","description":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9949","description":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9949","description":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2783","description":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2782","description":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4774.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4774.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4774.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4774.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9003","description":"LEUPROLIDE INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL AND SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7306","description":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL AND SPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1260","description":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1250","description":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND/3RD QTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0341","description":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND/3RD QTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR/STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0342","description":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR/STAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0340","description":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3332","description":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED 30 MINS IN-HOME VISIT EXIST PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2007","description":"LIMITED 30 MINS IN-HOME VISIT EXIST PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED 30 MINUTES CARE PLAN OVERSIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2014","description":"LIMITED 30 MINUTES CARE PLAN OVERSIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED 30 MINUTES IN-HOME VISIT NEW PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2002","description":"LIMITED 30 MINUTES IN-HOME VISIT NEW PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED CARE MANAGEMENT HOME CARE PLAN OVERSIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0086","description":"LIMITED CARE MANAGEMENT HOME CARE PLAN OVERSIGHT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED CARE MANAGEMENT HOME VISIT FOR EXIST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0082","description":"LIMITED CARE MANAGEMENT HOME VISIT FOR EXIST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED CARE MANAGEMENT HOME VISIT NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0077","description":"LIMITED CARE MANAGEMENT HOME VISIT NEW PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED ORAL EVALUATION - PROBLEM FOCUSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0140","description":"LIMITED ORAL EVALUATION - PROBLEM FOCUSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED ORTHODONTIC TREATMENT ADULT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8040","description":"LIMITED ORTHODONTIC TREATMENT ADULT DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED ORTHODONTIC TREATMENT PRIMARY DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8010","description":"LIMITED ORTHODONTIC TREATMENT PRIMARY DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LINEAR PERISTALTIC PM INF PUMP NOP MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9815","description":"LINEAR PERISTALTIC PM INF PUMP NOP MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LINGUAL FRENECTOMY FRENULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7962","description":"LINGUAL FRENECTOMY FRENULECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0002M","description":"LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0003M","description":"LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0166U","description":"LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81517","description":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGVTY and MRTLTY RSK MRNA GEN XPRSN PRFL RNA 18 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0294U","description":"LNGVTY and MRTLTY RSK MRNA GEN XPRSN PRFL RNA 18 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOBAR LUNG TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2060","description":"LOBAR LUNG TRANSPLANTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4381","description":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCAL ANES-NOT CONJUNCTION W/OP/SURGICAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9210","description":"LOCAL ANES-NOT CONJUNCTION W/OP/SURGICAL PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCAL ANESTHESIA CONJUCTION OPERATIVE/SURG PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9215","description":"LOCAL ANESTHESIA CONJUCTION OPERATIVE/SURG PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCKING RING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4286","description":"LOCKING RING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9965","description":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9965","description":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LODGING PER DIEM NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9976","description":"LODGING PER DIEM NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LODGNG COSTS CLINICAL TRIAL PRTCP AND ONE CAREGIVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9994","description":"LODGNG COSTS CLINICAL TRIAL PRTCP AND ONE CAREGIVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOUDNESS BALANCE BINAURAL/MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92562","description":"LOUDNESS BALANCE BINAURAL/MONAURAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW DNS LRP4 ANTB ID IMMUNOFLUORESCENCE LIVE CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0546U","description":"LOW DNS LRP4 ANTB ID IMMUNOFLUORESCENCE LIVE CLL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQ US DIATHERMY TREATMENT DVC FOR HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1004","description":"LOW FREQ US DIATHERMY TREATMENT DVC FOR HOME USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY ESWT CORPUS CAVERNOSUM LOW ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0864T","description":"LOW INTENSITY ESWT CORPUS CAVERNOSUM LOW ENERGY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0552T","description":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LPOPRTN BLD W/5 MAJ CLASS AUTO PRFL UCENTRFUGTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0052U","description":"LPOPRTN BLD W/5 MAJ CLASS AUTO PRFL UCENTRFUGTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LRT IAD 18BCT/8VIRUS and 7ARG AMP PRB TQ RT RNA TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528U","description":"LRT IAD 18BCT/8VIRUS and 7ARG AMP PRB TQ RT RNA TRGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1008","description":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1008","description":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8030","description":"LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LTD ORTHODONTIC TREATMENT TRANSITIONAL DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8020","description":"LTD ORTHODONTIC TREATMENT TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LU GNOTYP GENE ANALYSIS BCAM EXON 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0196U","description":"LU GNOTYP GENE ANALYSIS BCAM EXON 3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0469","description":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8395","description":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8395","description":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8694","description":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT  40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"LVEF LT  40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LW GNOTYP GENE ANALYSIS ICAM4 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0197U","description":"LW GNOTYP GENE ANALYSIS ICAM4 EXON 1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5307.93,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.12,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOVENOUS BYPASS W/ROBOTIC ASST PER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1019T","description":"LYMPHOVENOUS BYPASS W/ROBOTIC ASST PER EXTREMITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"MAC PGMT OPTICAL DNS MEAS HFP UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0506T","description":"MAC PGMT OPTICAL DNS MEAS HFP UNI/BI W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8037","description":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE IMAGING LOW-FIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8042","description":"MAGNETIC RESONANCE IMAGING LOW-FIELD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC SOURCE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8035","description":"MAGNETIC SOURCE IMAGING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5993","description":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9888","description":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AND/OR ZYGOMATIC ARCH CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7760","description":"MALAR AND/OR ZYGOMATIC ARCH CLOSED REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AND/OR ZYGOMATIC ARCH-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7660","description":"MALAR AND/OR ZYGOMATIC ARCH-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7650","description":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7750","description":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANAGEMENT OF A NEW PT DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0522","description":"MANAGEMENT OF A NEW PT DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4042","description":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBLE-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7640","description":"MANDIBLE-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBLE-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7740","description":"MANDIBLE-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBLE-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7630","description":"MANDIBLE-OPEN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBLE-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7730","description":"MANDIBLE-OPEN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR GUIDANCE PROSTHESIS W/O GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5935","description":"MANDIBULAR GUIDANCE PROSTHESIS W/O GUIDE FLANGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR GUIDANCE PROSTHESIS WITH GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5934","description":"MANDIBULAR GUIDANCE PROSTHESIS WITH GUIDE FLANGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5226","description":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR PARTIAL DENTURE - RESIN BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5212","description":"MANDIBULAR PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5214","description":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7830","description":"MANIPULATION UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANTLE DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4349","description":"MANTLE DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2230","description":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARIGEN PACTO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2038","description":"MARIGEN PACTO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTERS TWO STEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3904","description":"MASTERS TWO STEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2027","description":"MATRIDERM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7620","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7720","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7610","description":"MAXILLA-OPEN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7710","description":"MAXILLA-OPEN REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY GUIDANCE PROSTHESIS W/O GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5930","description":"MAXILLARY GUIDANCE PROSTHESIS W/O GUIDE FLANGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY GUIDANCE PROSTHESIS WITH GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5909","description":"MAXILLARY GUIDANCE PROSTHESIS WITH GUIDE FLANGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5213","description":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5225","description":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY PARTIAL DENTURE - RESIN BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5211","description":"MAXILLARY PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7560","description":"MAXILLARY SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0369","description":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL MRI IMAGE CAPTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0385","description":"MAXILLOFACIAL MRI IMAGE CAPTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL ULTRASOUND CAPTURE AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0370","description":"MAXILLOFACIAL ULTRASOUND CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0386","description":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL FRGLTY RBC SHEAR STRS AND SPECTRAL ALYS PRFLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0123U","description":"MCHNL FRGLTY RBC SHEAR STRS AND SPECTRAL ALYS PRFLG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96902","description":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDPP BNF ACHV AL 5 PCT  WL BW MO 1-12 MDPP SP UND EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9880","description":"MDPP BNF ACHV AL 5 PCT  WL BW MO 1-12 MDPP SP UND EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDPP BNF ACHV AL 9 PCT  WL B WT MO 1-24 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9881","description":"MDPP BNF ACHV AL 9 PCT  WL B WT MO 1-24 UND MDPP EM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEALS CLIN TRIAL PRTCP and ONE CAREGIVER/COMPANION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9996","description":"MEALS CLIN TRIAL PRTCP and ONE CAREGIVER/COMPANION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEALS FOR IND REC ALCOHOL and /SUBSTANCE ABUSE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1010","description":"MEALS FOR IND REC ALCOHOL and /SUBSTANCE ABUSE SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEALS PER DIEM NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9977","description":"MEALS PER DIEM NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0198T","description":"MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECH ALLERGEN PARTCL BAR/INH FILT CRM NASL TOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7023","description":"MECH ALLERGEN PARTCL BAR/INH FILT CRM NASL TOPIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94669","description":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 FUL GEN ALYS CHANGES DELET DUPL INSJ VRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0234U","description":"MECP2 FUL GEN ALYS CHANGES DELET DUPL INSJ VRNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0220","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0221","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED FOOD NUTR CMPL ORAL 100 PCT  NUTRITNL INTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9433","description":"MED FOOD NUTR CMPL ORAL 100 PCT  NUTRITNL INTAKE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED INDUCED AB ORAL INGESTION MED W/SRVC  and  SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0199","description":"MED INDUCED AB ORAL INGESTION MED W/SRVC  and  SPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED INDUCED AB ORAL INGESTION MED W/SRVC  and  SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0199","description":"MED INDUCED AB ORAL INGESTION MED W/SRVC  and  SPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0271","description":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0270","description":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5185","description":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1040","description":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1041","description":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4325F","description":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4325F","description":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9435","description":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9432","description":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0280","description":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0281","description":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9981","description":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL RECORDS COPYING FEE PER PAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9982","description":"MEDICAL RECORDS COPYING FEE PER PAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ASSTD TX BPN WKLY BASIS; WKLY BUNDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0533","description":"MEDICATION ASSTD TX BPN WKLY BASIS; WKLY BUNDLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99607","description":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDISKIN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4135","description":"MEDISKIN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELATONIN LVL TEST SLEEP STUDY 7/9 SAMPLE ELISA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0462U","description":"MELATONIN LVL TEST SLEEP STUDY 7/9 SAMPLE ELISA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRP LT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4373","description":"MEMBRANE WRP LT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PROT  AND  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PROT  AND  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90620","description":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4013","description":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1781","description":"MESH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"MESIAL/DISTAL WEDGE PROCEDURE SINGLE TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4274","description":"MESIAL/DISTAL WEDGE PROCEDURE SINGLE TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7667","description":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7670","description":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7674","description":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7674","description":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHADONE ORAL 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0109","description":"METHADONE ORAL 5MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2118","description":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT NEW PT DEMENTIA MODERATE TO HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0523","description":"MGMT NEW PT DEMENTIA MODERATE TO HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF EST PATIENT DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0527","description":"MGMT OF EST PATIENT DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF EST PT DEMENTIA MOD TO HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0528","description":"MGMT OF EST PT DEMENTIA MOD TO HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF EST PT-CG DYAD DEMENTIA HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0526","description":"MGMT OF EST PT-CG DYAD DEMENTIA HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF EST PT-CG DYAD DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0524","description":"MGMT OF EST PT-CG DYAD DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF EST PT-CG DYAD DEMENTIA MOD COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0525","description":"MGMT OF EST PT-CG DYAD DEMENTIA MOD COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF NEW PT-CG DYAD DEMENTIA HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0521","description":"MGMT OF NEW PT-CG DYAD DEMENTIA HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF NEW PT-CG DYAD DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0519","description":"MGMT OF NEW PT-CG DYAD DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT OF NEW PT-CG DYAD DEMENTIA MOD COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0520","description":"MGMT OF NEW PT-CG DYAD DEMENTIA MOD COMPLEXITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38204","description":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83861","description":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROLYTE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2005","description":"MICROLYTE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROLYTE PAINGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2040","description":"MICROLYTE PAINGUARD PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROMATRIX FLEX PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2028","description":"MICROMATRIX FLEX PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4028","description":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVAS DIR CAB SURG; 1 ART AND VEN GFT 1 VEN GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2208","description":"MIN INVAS DIR CAB SURG; 1 ART AND VEN GFT 1 VEN GFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2207","description":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; 2 ART GFT AND 1 VENUS GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2209","description":"MIN INVASV DIR CAB SURG; 2 ART GFT AND 1 VENUS GFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2205","description":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2206","description":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRO3D FIBERS PER MILLIGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2030","description":"MIRO3D FIBERS PER MILLIGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODRY WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2031","description":"MIRODRY WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIROTRACT WOUND MATRIX SHEET PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2029","description":"MIROTRACT WOUND MATRIX SHEET PER CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRRAGEN ADVANCED WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2002","description":"MIRRAGEN ADVANCED WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2761","description":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC COMP SPL/ACCESS FOR USE WITH TOT AH SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8698","description":"MISC COMP SPL/ACCESS FOR USE WITH TOT AH SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC EXT COMP SPL/ACSS FOR ARGUS II RET PROS SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8608","description":"MISC EXT COMP SPL/ACSS FOR ARGUS II RET PROS SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC SPL/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0509","description":"MISC SPL/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0507","description":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC TX ITEMS  AND  SPL RETAIL PURCHASE NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1999","description":"MISC TX ITEMS  AND  SPL RETAIL PURCHASE NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC TX ITEMS  AND  SPL RETAIL PURCHASE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1999","description":"MISC TX ITEMS  AND  SPL RETAIL PURCHASE NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"MISSED APPOINTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9986","description":"MISSED APPOINTMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISSING AND MURDERED INDIGENOUS PERSONS MH  and  CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0052","description":"MISSING AND MURDERED INDIGENOUS PERSONS MH  and  CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9281","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9281","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0158U","description":"MLH1 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2295","description":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR CARDIAC INC INTRACARDIAC LEAD  and ALL SYS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1833","description":"MNTR CARDIAC INC INTRACARDIAC LEAD  and ALL SYS COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTRAOCULAR PRESS 24HRS OR GT  UNI/BI W/INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0329T","description":"MNTR INTRAOCULAR PRESS 24HRS OR GT  UNI/BI W/INTERP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7282","description":"MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9434","description":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE 45 MINS IN-HOME VISIT EXIST PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2008","description":"MODERATE 45 MINS IN-HOME VISIT EXIST PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE 45 MINS IN-HOME VISIT NEW PT POST-D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2003","description":"MODERATE 45 MINS IN-HOME VISIT NEW PT POST-D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE CARE MANAGEMENT HOME VISIT FOR EXIST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0083","description":"MODERATE CARE MANAGEMENT HOME VISIT FOR EXIST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE CARE MANAGEMENT HOME VISIT FOR NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0078","description":"MODERATE CARE MANAGEMENT HOME VISIT FOR NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERNA COVID-19 VACCINE ADM-BOOSTER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1711","description":"MODERNA COVID-19 VACCINE ADM-BOOSTER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERNA COVID-19 VACCINE ADM-THIRD DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1710","description":"MODERNA COVID-19 VACCINE ADM-THIRD DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92325","description":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICATION REMV PROSTH FOLLOW IMPLANT SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5875","description":"MODIFICATION REMV PROSTH FOLLOW IMPLANT SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0700T","description":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS 1ST LES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0701T","description":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MON  AND  STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4040","description":"MON  AND  STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9279","description":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONOCYTE DISTRIBUTION WIDTH WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0427U","description":"MONOCYTE DISTRIBUTION WIDTH WHOLE BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONTHLY SUPPLIES FOR USE OF DEVC CODED AT E0733","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4541","description":"MONTHLY SUPPLIES FOR USE OF DEVC CODED AT E0733","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8476","description":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8476","description":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES  GT EQUAL 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES  GT EQUAL 90 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT GLY STS ASMT HBA1C / GMI LVL  LT  7.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1371","description":"MOST RECENT GLY STS ASMT HBA1C / GMI LVL  LT  7.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1211","description":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  GT EQUAL 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C  GT EQUAL 130 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3050F","description":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3048F","description":"MOST RECENT LDL-C  LT 100 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3048F","description":"MOST RECENT LDL-C  LT 100 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9790","description":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS  GT 140/90 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS  GT 140/90 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTORIZED AB INTERNO TREPHINATION SCLERA/TRAB MW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1012T","description":"MOTORIZED AB INTERNO TREPHINATION SCLERA/TRAB MW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90733","description":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90733","description":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1372","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  8.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1373","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  8.0 PCT   an","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61715","description":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRGFUS STRTCTC BLD-BRN BARR DISRPJ MBUBB RSN8TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0947T","description":"MRGFUS STRTCTC BLD-BRN BARR DISRPJ MBUBB RSN8TR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.24,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70543","description":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70543","description":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN ACQUISJ SINGLE VOXEL DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0609T","description":"MRS DISCOGENIC PAIN ACQUISJ SINGLE VOXEL DATA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN ALGORTHMIC ALYS BMRK DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0611T","description":"MRS DISCOGENIC PAIN ALGORTHMIC ALYS BMRK DATA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0612T","description":"MRS DISCOGENIC PAIN INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN TRANSMIS BMRK DATA SW ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0610T","description":"MRS DISCOGENIC PAIN TRANSMIS BMRK DATA SW ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0159U","description":"MSH2 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0160U","description":"MSH6 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPROTEIN BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P2038","description":"MUCOPROTEIN BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCUS TRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8210","description":"MUCUS TRAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0580F","description":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFETAL PREGNANCY REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59866","description":"MULTIFETAL PREGNANCY REDUCTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX VIT W/WO MINERLS and TRACE ELEMS ORL PER DOSE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9153","description":"MX VIT W/WO MINERLS and TRACE ELEMS ORL PER DOSE NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOBACTERIUM TB CFP-10 SERUM/PLASMA LC-MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0574U","description":"MYCOBACTERIUM TB CFP-10 SERUM/PLASMA LC-MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7528","description":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7528","description":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOPEROXIDASE MPO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83876","description":"MYELOPEROXIDASE MPO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0541T","description":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0542T","description":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA I AND R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0439T","description":"MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD SYMP INNERVAJ IMG PLNR QUAL and QUANT W/SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0332T","description":"MYOCRD SYMP INNERVAJ IMG PLNR QUAL and QUANT W/SPECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL AND QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0331T","description":"MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL AND QUANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7856","description":"MYOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRIAD MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2032","description":"MYRIAD MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRIAD MORCELLS 4 MILLIGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2033","description":"MYRIAD MORCELLS 4 MILLIGRAMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY LASER-ASSISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2225","description":"MYRINGOTOMY LASER-ASSISTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS DATA PREP  and  TRANSMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0711T","description":"N-INVAS ARTL PLAQ ALYS DATA PREP  and  TRANSMISSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS DATA PRP QUAN REVIEW I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0710T","description":"N-INVAS ARTL PLAQ ALYS DATA PRP QUAN REVIEW I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS DATA REVIEW I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0713T","description":"N-INVAS ARTL PLAQ ALYS DATA REVIEW I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS QUAN STRUX and COMPOS VSL WAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0712T","description":"N-INVAS ARTL PLAQ ALYS QUAN STRUX and COMPOS VSL WAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ASSMT BLD OXY GAS XCHNG EFF and CARDRESP I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0893T","description":"N-INVAS ASSMT BLD OXY GAS XCHNG EFF and CARDRESP I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ASSMT CAR RSK AUGMNT SW ALYS FAT W/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0993T","description":"N-INVAS ASSMT CAR RSK AUGMNT SW ALYS FAT W/CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ASSMT CAR RSK AUGMNT SW ALYS FAT W/O CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0992T","description":"N-INVAS ASSMT CAR RSK AUGMNT SW ALYS FAT W/O CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS AUGMNT ARRHYT ALYS QUAN CAR ARRHYT SIMUL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0897T","description":"N-INVAS AUGMNT ARRHYT ALYS QUAN CAR ARRHYT SIMUL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS DETCJ HEART FAILURE DRV AUGMNT ALYS ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0932T","description":"N-INVAS DETCJ HEART FAILURE DRV AUGMNT ALYS ECHO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS DETER AQMBF AUGMNT ALG ALYS DATASET CMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0899T","description":"N-INVAS DETER AQMBF AUGMNT ALG ALYS DATASET CMR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST AQMBF ASSISTIVE ALG ALYS DATASET CMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0900T","description":"N-INVAS EST AQMBF ASSISTIVE ALG ALYS DATASET CMR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2342","description":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5913","description":"NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5926","description":"NASAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SEPTAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5922","description":"NASAL SEPTAL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31243","description":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31242","description":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITH STYLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4081","description":"NASOGASTRIC TUBING WITH STYLET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITH STYLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4081","description":"NASOGASTRIC TUBING WITH STYLET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITHOUT STYLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4082","description":"NASOGASTRIC TUBING WITHOUT STYLET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITHOUT STYLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4082","description":"NASOGASTRIC TUBING WITHOUT STYLET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NATALIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4396","description":"NATALIN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC OTH/THN PAD 1ST ANTMC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0640T","description":"NCNTC NR IFR SPECTRSC OTH/THN PAD 1ST ANTMC SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC OTH/THN PAD EA ANTMC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0859T","description":"NCNTC NR IFR SPECTRSC OTH/THN PAD EA ANTMC SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC SCR PAD W/PROV MANEUVERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0860T","description":"NCNTC NR IFR SPECTRSC SCR PAD W/PROV MANEUVERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDOVAG CRYG COOLD RF REMDL TISS FML BLDR NCK and URT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0672T","description":"NDOVAG CRYG COOLD RF REMDL TISS FML BLDR NCK and URT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507T","description":"NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER ULTRASONIC LARGE VOLUME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0575","description":"NEBULIZER ULTRASONIC LARGE VOLUME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0580","description":"NEBULIZR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY CORONER CALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88045","description":"NECROPSY CORONER CALL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY FORENSIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88040","description":"NECROPSY FORENSIC EXAMINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS  and  MICROSCOPIC INFANT W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88028","description":"NECROPSY GROSS  and  MICROSCOPIC INFANT W/BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS  and  MICROSCOPIC W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88025","description":"NECROPSY GROSS  and  MICROSCOPIC W/BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS  and  MICROSCOPIC W/O CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88020","description":"NECROPSY GROSS  and  MICROSCOPIC W/O CNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS AND MCRSCP BRAIN  AND  SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88027","description":"NECROPSY GROSS AND MCRSCP BRAIN  AND  SPINAL CORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAM MACERATED STILLBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88016","description":"NECROPSY GROSS EXAM MACERATED STILLBORN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88014","description":"NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION INFANT W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88012","description":"NECROPSY GROSS EXAMINATION INFANT W/BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION ONLY W/O CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88000","description":"NECROPSY GROSS EXAMINATION ONLY W/O CNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88005","description":"NECROPSY GROSS EXAMINATION W/BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION W/BRAIN and SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88007","description":"NECROPSY GROSS EXAMINATION W/BRAIN and SPINAL CORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS and MCRSCP STILLBORN/NEWBORN BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88029","description":"NECROPSY GROSS and MCRSCP STILLBORN/NEWBORN BRAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY LIMITD GROSS and /MCRSCP SINGLE ORGAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88037","description":"NECROPSY LIMITD GROSS and /MCRSCP SINGLE ORGAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY LIMITED GROSS and /MCRSCP REGIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88036","description":"NECROPSY LIMITED GROSS and /MCRSCP REGIONAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE STERILE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4215","description":"NEEDLE STERILE ANY SIZE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE STERILE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4215","description":"NEEDLE STERILE ANY SIZE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE-FREE INJECTION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4210","description":"NEEDLE-FREE INJECTION DEVICE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE-FREE INJECTION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4210","description":"NEEDLE-FREE INJECTION DEVICE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NEFRO RENAL TRNSPL QUAN CXCL10 CHEMOKINES FCM UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526U","description":"NEFRO RENAL TRNSPL QUAN CXCL10 CHEMOKINES FCM UR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEFRO RENAL TRNSPL URINE NMR 84 UR METABOLITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0542U","description":"NEFRO RENAL TRNSPL URINE NMR 84 UR METABOLITES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4371","description":"NEOGUARD PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4388","description":"NEOTHELIUM 4L PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4389","description":"NEOTHELIUM 4L PLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4387","description":"NEOTHELIUM FT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4148","description":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4148","description":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPH RNL TRNSPL RNA POSTTRNSPL PERPH BLD ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0320U","description":"NEPH RNL TRNSPL RNA POSTTRNSPL PERPH BLD ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPH RNL TRNSPL RNA PRETRNSPL PERPH BLD ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0319U","description":"NEPH RNL TRNSPL RNA PRETRNSPL PERPH BLD ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLOGY CKD ECLIA TUMOR NECROSIS ALG RKFD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0105U","description":"NEPHROLOGY CKD ECLIA TUMOR NECROSIS ALG RKFD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLOGY CKD NUCLEAR MRS MEAS GFR SRM QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0259U","description":"NEPHROLOGY CKD NUCLEAR MRS MEAS GFR SRM QUAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4014","description":"NEPHROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CRYOABLATION PROBE NONOPIOID MEDICAL DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9808","description":"NERVE CRYOABLATION PROBE NONOPIOID MEDICAL DVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7259","description":"NERVE DISSECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE STIMULATOR PERC PERIPH NONOPIOID MED DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9807","description":"NERVE STIMULATOR PERC PERIPH NONOPIOID MED DVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8655","description":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8655","description":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURFLMNT LIGHT CHAIN CLEIA PLASMA QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0547U","description":"NEURFLMNT LIGHT CHAIN CLEIA PLASMA QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO ALZ DS BETA AMYL and TAU PRTN BLD LC-MS/MS ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0503U","description":"NEURO ALZ DS BETA AMYL and TAU PRTN BLD LC-MS/MS ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO ALZ DS PLSM 3DSTNCT ISOFRM PEPTID LC-MS/MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0596U","description":"NEURO ALZ DS PLSM 3DSTNCT ISOFRM PEPTID LC-MS/MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER MRNA GEN XPRSN PRFL RNA SEQ 24","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0289U","description":"NEURO ALZHEIMER MRNA GEN XPRSN PRFL RNA SEQ 24","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO ASD QUAN MEAS 14 ACYL CARNITINES  and  METABLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0322U","description":"NEURO ASD QUAN MEAS 14 ACYL CARNITINES  and  METABLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO ASD RNA NEXT-GNRJ SEQ SALIVA ALG ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0170U","description":"NEURO ASD RNA NEXT-GNRJ SEQ SALIVA ALG ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO AUTISM 32 AMINES PLSM ALG METAB SIGNATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0063U","description":"NEURO AUTISM 32 AMINES PLSM ALG METAB SIGNATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO AUTISM QUAN MEAS 16 CTR CARBON METABOLITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0263U","description":"NEURO AUTISM QUAN MEAS 16 CTR CARBON METABOLITES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0035U","description":"NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0584U","description":"NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA GENOMIC DNA SEQ ALYS 12 BLD/SLV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0216U","description":"NEURO INH ATAXIA GENOMIC DNA SEQ ALYS 12 BLD/SLV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA GENOMIC DNA SEQ ALYS 51 BLD/SLV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0217U","description":"NEURO INH ATAXIA GENOMIC DNA SEQ ALYS 51 BLD/SLV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42 and 1-40","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0358U","description":"NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42 and 1-40","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO MUSCULAR DYSTROPHY DMD SEQ ALYS BLD/SALIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0218U","description":"NEURO MUSCULAR DYSTROPHY DMD SEQ ALYS BLD/SALIVA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROL DEMENTIA BAMYL PTAU NFL and GFAP ULTR-HI SMAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0568U","description":"NEUROL DEMENTIA BAMYL PTAU NFL and GFAP ULTR-HI SMAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROL PD DNA MTHYLTN ALYS  GT 20000 SITES WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0626U","description":"NEUROL PD DNA MTHYLTN ALYS  GT 20000 SITES WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0206U","description":"NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0207U","description":"NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY DEMENTIA DNA MTHYLTN ALYS  GT 30000 SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0616U","description":"NEUROLOGY DEMENTIA DNA MTHYLTN ALYS  GT 30000 SITES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4015","description":"NEUROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY TBI ALYS GFAP and UCH-L1 IA WHL BLOOD/PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0570U","description":"NEUROLOGY TBI ALYS GFAP and UCH-L1 IA WHL BLOOD/PLSM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGY MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1500","description":"NEUROPSYCHOLOGY MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSTIMULATOR INTEGRATED RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1607","description":"NEUROSTIMULATOR INTEGRATED RECHARGEABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSURGICAL MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4016","description":"NEUROSURGICAL MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW CIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1454","description":"NEW CIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q1004","description":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q1005","description":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87913","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT HIV TRGT VIRAL NEXT-GNRJ SEQ ALYS ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0219U","description":"NFCT AGENT HIV TRGT VIRAL NEXT-GNRJ SEQ ALYS ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT STI CHLMYD GONORR TRICH MULT AMP PRB UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0455U","description":"NFCT AGT STI CHLMYD GONORR TRICH MULT AMP PRB UR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DISEASE BCT and FUNGAL DNA 44 ORGS URINE NGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0590U","description":"NFCT DISEASE BCT and FUNGAL DNA 44 ORGS URINE NGS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS AFB and INVAS FUNGI DNA 673 ORGS NGS PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0531U","description":"NFCT DS AFB and INVAS FUNGI DNA 673 ORGS NGS PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS ANTMCRB SC PHENOTYPIC  Plus BLOOD CUL MF SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0610U","description":"NFCT DS ANTMCRB SC PHENOTYPIC  Plus BLOOD CUL MF SNR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACT AND FNG GRAM NEG ORG ID  AND  RX RESIST DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0142U","description":"NFCT DS BACT AND FNG GRAM NEG ORG ID  AND  RX RESIST DNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACT AND FNG GRAM POS ORG ID  AND  RX RESIST DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0141U","description":"NFCT DS BACT AND FNG GRAM POS ORG ID  AND  RX RESIST DNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACT AND FNG ORG ID BLD CUL RRNA FISH 6 PLUS TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0086U","description":"NFCT DS BACT AND FNG ORG ID BLD CUL RRNA FISH 6 PLUS TRGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT QUAN ANTMCRB SC MIC EA ORG ID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0311U","description":"NFCT DS BCT QUAN ANTMCRB SC MIC EA ORG ID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81514","description":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0223U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIRAL 32 GENES IMMUNE RESPONSE MRNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0588U","description":"NFCT DS BCT/VIRAL 32 GENES IMMUNE RESPONSE MRNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0351U","description":"NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BV RT AMPLIFICATION DNA MRK VAGINAL FLU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0557U","description":"NFCT DS BV RT AMPLIFICATION DNA MRK VAGINAL FLU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81515","description":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS CSF METAGENOMIC NGS BIOINFORMATIC ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0480U","description":"NFCT DS CSF METAGENOMIC NGS BIOINFORMATIC ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0225U","description":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0140U","description":"NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0593U","description":"NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS LB DNA MTHYLTN ALYS GT 10000 SITES WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0621U","description":"NFCT DS LB DNA MTHYLTN ALYS GT 10000 SITES WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0152U","description":"NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS MGEN 23S RRNA POINT MUT ORL/RCT/VAG SWAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0484U","description":"NFCT DS MGEN 23S RRNA POINT MUT ORL/RCT/VAG SWAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS NG GYRA S91F POINT MUT ORL/RCT/VAG SWAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0483U","description":"NFCT DS NG GYRA S91F POINT MUT ORL/RCT/VAG SWAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS PJI ALYS 11 BIOMARKERS IMMUNOASSAY HEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0601U","description":"NFCT DS PJI ALYS 11 BIOMARKERS IMMUNOASSAY HEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS PTHGN-SNA 10VIRAL and 4BCT TRGTS QUAL RT-PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0564U","description":"NFCT DS PTHGN-SNA 10VIRAL and 4BCT TRGTS QUAL RT-PCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS PTHGN-SNA 11VIRAL and 4BCT TRGTS QUAL RT-PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0563U","description":"NFCT DS PTHGN-SNA 11VIRAL and 4BCT TRGTS QUAL RT-PCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS PTHGN-SPECIFIC DNA and RNA RT PCR 12 TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0556U","description":"NFCT DS PTHGN-SPECIFIC DNA and RNA RT PCR 12 TARGETS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS SEPSIS SEMIQ MEAS PNCRTC STN PRTN CONCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0594U","description":"NFCT DS SEPSIS SEMIQ MEAS PNCRTC STN PRTN CONCTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS STRN TYP WHL GENOME SEQUENCING PR ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0010U","description":"NFCT DS STRN TYP WHL GENOME SEQUENCING PR ISOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS TB DNA ALYS 1 TRGT PCR W/CRISPR BASE PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0629U","description":"NFCT DS TB DNA ALYS 1 TRGT PCR W/CRISPR BASE PRB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS TFP VCTRBRNE and ZOONOTIC PTHGN 2VIR 1BCTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0595U","description":"NFCT DS TFP VCTRBRNE and ZOONOTIC PTHGN 2VIR 1BCTRUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS UTI ID 17 PATH ORGANISMS URINE RTPCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0504U","description":"NFCT DS UTI ID 17 PATH ORGANISMS URINE RTPCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS VAG INFCTJ ID 32 PTHGNC ORGS SWAB RTPCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505U","description":"NFCT DS VAG INFCTJ ID 32 PTHGNC ORGS SWAB RTPCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS WOUND INFCTJ ID 65ORGS and 30ARGS SWAB RTPCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0600U","description":"NFCT DS WOUND INFCTJ ID 65ORGS and 30ARGS SWAB RTPCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFRO DBTC CKD ELISA APOA4 CD5L EGFR AGE PLSM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0579U","description":"NFRO DBTC CKD ELISA APOA4 CD5L EGFR AGE PLSM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFRO KDN DS GENETIC COND RNL DS PNL SLV NGS 449","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0628U","description":"NFRO KDN DS GENETIC COND RNL DS PNL SLV NGS 449","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NICOTINE PATCHES LEGEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4990","description":"NICOTINE PATCHES LEGEND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NICOTINE PATCHES NON-LEGEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4991","description":"NICOTINE PATCHES NON-LEGEND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8033","description":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX B1 SUB MATRL B1 and /SFT TISSUE HW FIXJ AGMNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0869T","description":"NJX B1 SUB MATRL B1 and /SFT TISSUE HW FIXJ AGMNTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0707T","description":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0232T","description":"NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0970","description":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC AL 2 ATT TO F/U W/PT W/I 180 DAYS OF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1464","description":"NO DOC AL 2 ATT TO F/U W/PT W/I 180 DAYS OF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3493F","description":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3493F","description":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1213","description":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3757F","description":"NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1216","description":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON - SURGICAL SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7979","description":"NON - SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-ARTHROSCOPIC LYSIS AND LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7871","description":"NON-ARTHROSCOPIC LYSIS AND LAVAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4275","description":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4285","description":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-CNTC WND WARMING DEVC W/WARMING CARD and COVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0231","description":"NON-CNTC WND WARMING DEVC W/WARMING CARD and COVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-CNTC WND WARMING WND COVR W/DEVC and CARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6000","description":"NON-CNTC WND WARMING WND COVR W/DEVC and CARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-DISPOSABLE UNDERPADS ALL SIZES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4553","description":"NON-DISPOSABLE UNDERPADS ALL SIZES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2001","description":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2004","description":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2049","description":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2002","description":"NON-EMERGENCY TRANSPORTATION; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IONIZING DX PROC CPBL QUANTIFYING  MON  AND  REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0600","description":"NON-IONIZING DX PROC CPBL QUANTIFYING  MON  AND  REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0510","description":"NON-PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-PVC IV ADMN SET W/RX THAT ARE NOT STABL PVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1016","description":"NON-PVC IV ADMN SET W/RX THAT ARE NOT STABL PVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0761","description":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NONCOVERED ITEM OR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9270","description":"NONCOVERED ITEM OR SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCOVR PROC NO ANES/LOC ANES-MCR QUAL TRIAL-DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0294","description":"NONCOVR PROC NO ANES/LOC ANES-MCR QUAL TRIAL-DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0293","description":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2005","description":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE PROSTATE CANCER ESTIMATION MAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0898T","description":"NONINVASIVE PROSTATE CANCER ESTIMATION MAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE VAGUS NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0735","description":"NONINVASIVE VAGUS NERVE STIMULATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0683","description":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0680","description":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0681","description":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRESCRIPTION DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9150","description":"NONPRESCRIPTION DRUG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9760","description":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4100","description":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0581","description":"NONSTANDARD LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD SIZE OR LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3255","description":"NONSTANDARD SIZE OR LENGTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD SIZE OR WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3254","description":"NONSTANDARD SIZE OR WIDTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81442","description":"NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1294","description":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"NOT INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1501F","description":"NOT INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT MEDICALLY NECESSARY SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9986","description":"NOT MEDICALLY NECESSARY SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVASHIELD OR NOVOGEN WOUND MATRIX, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2045","description":"NOVASHIELD OR NOVOGEN WOUND MATRIX, PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2006","description":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0274","description":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NPM1 GENE ANALYSIS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0049U","description":"NPM1 GENE ANALYSIS QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NQHP OL DIGITAL ASSMT and MGMT EST PT  LT 7 D 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98971","description":"NQHP OL DIGITAL ASSMT and MGMT EST PT  LT 7 D 11-20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NQHP OL DIGITAL ASSMT and MGMT EST PT  LT 7 D 21 Plus  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98972","description":"NQHP OL DIGITAL ASSMT and MGMT EST PT  LT 7 D 21 Plus  MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NQHP OL DIGITAL ASSMT and MGMT EST PT  LT 7 D 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98970","description":"NQHP OL DIGITAL ASSMT and MGMT EST PT  LT 7 D 5-10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX  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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99447","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99448","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99449","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99446","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99446","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99452","description":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99452","description":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86386","description":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDT15  AND  TPMT GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0169U","description":"NUDT15  AND  TPMT GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUFORM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4420","description":"NUFORM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT  LT 3M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1027","description":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT  LT 3M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1026","description":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE IN THE HOME BY LPN PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1031","description":"NURSING CARE IN THE HOME BY LPN PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE IN THE HOME; BY LPN PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9124","description":"NURSING CARE IN THE HOME; BY LPN PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9123","description":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9452","description":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4017","description":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING CONTROL OF DENTAL DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1310","description":"NUTRITIONAL COUNSELING CONTROL OF DENTAL DISEASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1357","description":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS BTTRY PACK/CRTRDGE PRTBLE CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1356","description":"O2 ACCESS BTTRY PACK/CRTRDGE PRTBLE CONC REPL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1358","description":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS WHEELED CART PRTBLE CYL/CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1354","description":"O2 ACCESS WHEELED CART PRTBLE CYL/CONC REPL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB FTL AG NIPT CFDNA SEQ ALYS DETCJ FTL PRESENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0488U","description":"OB FTL AG NIPT CFDNA SEQ ALYS DETCJ FTL PRESENCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PE BIOCHEM ASY PLCNTL GRWTH FACTR MAT SRM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0243U","description":"OB PE BIOCHEM ASY PLCNTL GRWTH FACTR MAT SRM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PREECLAMPSIA BIOCHEM ASY SFLT-1 and PLGF SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0482U","description":"OB PREECLAMPSIA BIOCHEM ASY SFLT-1 and PLGF SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PREECLAMPSIA SFLT-1/PLGF RATIO IA SERUM/PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0524U","description":"OB PREECLAMPSIA SFLT-1/PLGF RATIO IA SERUM/PLSM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0247U","description":"OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0489U","description":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4018","description":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS DEFINITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5932","description":"OBTURATOR PROSTHESIS DEFINITIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS MODIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5933","description":"OBTURATOR PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5931","description":"OBTURATOR PROSTHESIS SURGICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR/PROSTHESIS INTERIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5936","description":"OBTURATOR/PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ADJUSTMENT - COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9952","description":"OCCLUSAL ADJUSTMENT - COMPLETE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ADJUSTMENT - LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9951","description":"OCCLUSAL ADJUSTMENT - LIMITED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9944","description":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9946","description":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9945","description":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9943","description":"OCCLUSAL GUARD ADJUSTMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7881","description":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ORTHOTIC DEVICE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7880","description":"OCCLUSAL ORTHOTIC DEVICE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION ANALYSIS - MOUNTED CASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9950","description":"OCCLUSION ANALYSIS - MOUNTED CASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4773","description":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0129","description":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9129","description":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT BREAST OR AXILL NODE SPECIMEN I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0352T","description":"OCT BREAST OR AXILL NODE SPECIMEN I AND R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT BREAST SURG CAVITY REAL TIME/REFERRED I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0354T","description":"OCT BREAST SURG CAVITY REAL TIME/REFERRED I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT OF BREAST SURG CAVITY REAL TIME INTRAOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0353T","description":"OCT OF BREAST SURG CAVITY REAL TIME INTRAOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5916","description":"OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR PROSTHESIS INTERIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5923","description":"OCULAR PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92518","description":"OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ODONTOPLASTY - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9971","description":"ODONTOPLASTY - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2087","description":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFF/OTH OP E and M EST PT PROV 56 MG ESKETAMINE N SA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2082","description":"OFF/OTH OP E and M EST PT PROV 56 MG ESKETAMINE N SA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFF/OTH OP E and M EST PT PROV GT 56 MG ESKETAMINE N SA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2083","description":"OFF/OTH OP E and M EST PT PROV GT 56 MG ESKETAMINE N SA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE OUTPATIENT NEW 20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE OUTPATIENT NEW 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE OUTPATIENT NEW 45 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE OUTPATIENT NEW 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE OUTPATIENT VISIT 10 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE OUTPATIENT VISIT 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE OUTPATIENT VISIT 25 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE OUTPATIENT VISIT 40 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 5 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE OUTPATIENT VISIT 5 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9430","description":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE VISIT-AFTER REGULARLY SCHEDULED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9440","description":"OFFICE VISIT-AFTER REGULARLY SCHEDULED HOURS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMEGAVEN 10 G LIPIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4187","description":"OMEGAVEN 10 G LIPIDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2014","description":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNICARDIOGRAM/CARDIOINTEGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9025","description":"OMNICARDIOGRAM/CARDIOINTEGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0023U","description":"ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC B CLL LYMPHM MRNA GENE XPRSN PRFL 58 GEN ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0120U","description":"ONC B CLL LYMPHM MRNA GENE XPRSN PRFL 58 GEN ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BLADDER MRNA MICRORA GEN XPRSN PRFLG 219 ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0016M","description":"ONC BLADDER MRNA MICRORA GEN XPRSN PRFLG 219 ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BLADDER MTHYL PENK DNA DETCJ LTE-QMSP URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0452U","description":"ONC BLADDER MTHYL PENK DNA DETCJ LTE-QMSP URINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BLDR DNA NGS 60 GEN and WHL GENOME ANEUP UR ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0467U","description":"ONC BLDR DNA NGS 60 GEN and WHL GENOME ANEUP UR ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST CA S100 A8 and A9 ELISA TEAR FLUID ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0458U","description":"ONC BREAST CA S100 A8 and A9 ELISA TEAR FLUID ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0153U","description":"ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST QUANTITATIVE ELISA BF9 ANTIGEN SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0559U","description":"ONC BREAST QUANTITATIVE ELISA BF9 ANTIGEN SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST CA DNA PIK3CA GEN ALYS 11 GEN VRNT PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0177U","description":"ONC BRST CA DNA PIK3CA GEN ALYS 11 GEN VRNT PLSM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST CA DNA PIK3CA GENE ALYS BRST TUM TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0155U","description":"ONC BRST CA DNA PIK3CA GENE ALYS BRST TUM TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST CA ERBB2 COPY NUMBER FISH AMP/NONAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0009U","description":"ONC BRST CA ERBB2 COPY NUMBER FISH AMP/NONAMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST CA IMAGE ALYS W/AI ASSMT 12 FEATURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0220U","description":"ONC BRST CA IMAGE ALYS W/AI ASSMT 12 FEATURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST CA SEMIQ MEAS THYMIDINE KINASE ACTV IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0404U","description":"ONC BRST CA SEMIQ MEAS THYMIDINE KINASE ACTV IA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0045U","description":"ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0295U","description":"ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST IMHCHEM PRTN XPRS PRFL 4 BMRK CA PRTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0067U","description":"ONC BRST IMHCHEM PRTN XPRS PRFL 4 BMRK CA PRTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST MRNA GENE XPRSN PRFLG MICRORA 80 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0630U","description":"ONC BRST MRNA GENE XPRSN PRFLG MICRORA 80 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST RNA XPRSN PRFLG 329GENS TRGT NGS 20PRTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0597U","description":"ONC BRST RNA XPRSN PRFLG 329GENS TRGT NGS 20PRTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CERVIX MRNA GENXPRSN 14 BMRK E6 and E7 HPV NASBA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0463U","description":"ONC CERVIX MRNA GENXPRSN 14 BMRK E6 and E7 HPV NASBA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CHEMO CYTOX ASY CSC RX RSPSE MIN 14 RX/CMBN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0435U","description":"ONC CHEMO CYTOX ASY CSC RX RSPSE MIN 14 RX/CMBN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT CA ALYS CFDNA EPIG PTRN NGS  GT 2500 DMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0537U","description":"ONC CLRCT CA ALYS CFDNA EPIG PTRN NGS  GT 2500 DMR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT CA CFDNA MTHYLTN BSD QUAN PCR ASY PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0453U","description":"ONC CLRCT CA CFDNA MTHYLTN BSD QUAN PCR ASY PLSM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT CA IMG ANALYSIS W/AI ASSMT 4 FEATURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0261U","description":"ONC CLRCT CA IMG ANALYSIS W/AI ASSMT 4 FEATURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT CA QUAL RT-PCR 35 VRNT KRAS and NRAS GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0471U","description":"ONC CLRCT CA QUAL RT-PCR 35 VRNT KRAS and NRAS GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT CFDNA 8GENS MUT 7GENS MTHYLTN RT-PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0496U","description":"ONC CLRCT CFDNA 8GENS MUT 7GENS MTHYLTN RT-PCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT MICRORNA XPRS PRFL MIR-31-3P ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0069U","description":"ONC CLRCT MICRORNA XPRS PRFL MIR-31-3P ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT NGS MUT DETCJ 43GEN and MTHYLTN PTRN 45GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0498U","description":"ONC CLRCT NGS MUT DETCJ 43GEN and MTHYLTN PTRN 45GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT QUAN 3 UR METABOLITES ALG ADNMTS PLP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0002U","description":"ONC CLRCT QUAN 3 UR METABOLITES ALG ADNMTS PLP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR BIOCHEM ELISA 3 PLSM/SRM PRTN ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0163U","description":"ONC CLRCT SCR BIOCHEM ELISA 3 PLSM/SRM PRTN ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR CLL ENUM CRCG TUM CLL WHL BLD ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0091U","description":"ONC CLRCT SCR CLL ENUM CRCG TUM CLL WHL BLD ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QRTSA MTHYL DNA MRK W/STOOL ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0464U","description":"ONC CLRCT SCR QRTSA MTHYL DNA MRK W/STOOL ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0421U","description":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT and LNG DNA FFPE TISS NGS 8GENES MUT DETCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0499U","description":"ONC CLRCT and LNG DNA FFPE TISS NGS 8GENES MUT DETCJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CNS ALYS 30000 DNA METHYLATION LOCI TUM TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0020M","description":"ONC CNS ALYS 30000 DNA METHYLATION LOCI TUM TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CNS TUM DNA MTHYLTN ALYS AT LST 10,000 SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81524","description":"ONC CNS TUM DNA MTHYLTN ALYS AT LST 10,000 SITES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC COLORECTAL BLOOD QUANTITATIVE MEAS CFDNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0501U","description":"ONC COLORECTAL BLOOD QUANTITATIVE MEAS CFDNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC COLORECTAL QUANTITATIVE ELISA BF7 AG SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0558U","description":"ONC COLORECTAL QUANTITATIVE ELISA BF7 AG SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0090U","description":"ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GEN XPRSN PRFL 35 GENES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0314U","description":"ONC CUTAN MLNMA MRNA GEN XPRSN PRFL 35 GENES ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81529","description":"ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA RNA GEN XPRSN RTQPCR 10GENS FFPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0578U","description":"ONC CUTAN MLNMA RNA GEN XPRSN RTQPCR 10GENS FFPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0315U","description":"ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN/UVEAL MLNMA CTC SLCTN MC and ENUM CD146","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0490U","description":"ONC CUTAN/UVEAL MLNMA CTC SLCTN MC and ENUM CD146","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DLBCL MRNA FLUOR PRB HYBRDZTN 20 GENES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0017M","description":"ONC DLBCL MRNA FLUOR PRB HYBRDZTN 20 GENES ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS PROG and RSPSE MNTR RADJ CHEMOTX/OTH CA TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0285U","description":"ONC DS PROG and RSPSE MNTR RADJ CHEMOTX/OTH CA TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HCC NGS MTHYLTN PTRN ASSAY DETC 6626 EPIGALT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0565U","description":"ONC HCC NGS MTHYLTN PTRN ASSAY DETC 6626 EPIGALT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HL NEO OPT GEN MAPPING W/DNA BLD/BONE MARROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0331U","description":"ONC HL NEO OPT GEN MAPPING W/DNA BLD/BONE MARROW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HL NEOPLASM DNA TGS 417GENS INTERROG GEN FUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0592U","description":"ONC HL NEOPLASM DNA TGS 417GENS INTERROG GEN FUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0017U","description":"ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0016U","description":"ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LIVER ALYS  GT 1000 MTHYLTD REGS CFDNA PLSM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0611U","description":"ONC LIVER ALYS  GT 1000 MTHYLTD REGS CFDNA PLSM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LIVER ALYS  GT 1000 MTHYLTD REGS CFDNA PLSM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0612U","description":"ONC LIVER ALYS  GT 1000 MTHYLTD REGS CFDNA PLSM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LNG PLSM ALYS 388 PRTN APTMR BSD PRTOMC TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0436U","description":"ONC LNG PLSM ALYS 388 PRTN APTMR BSD PRTOMC TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LNG QPCR-BASED ALYS 13DMRS PLEURAL FLUID ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0566U","description":"ONC LNG QPCR-BASED ALYS 13DMRS PLEURAL FLUID ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LUNG 3 PRTN BMRK IA PLSM ALG RSK SCOR MALIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0092U","description":"ONC LUNG 3 PRTN BMRK IA PLSM ALG RSK SCOR MALIG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0080U","description":"ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LUNG CA 4-PRB FISH ASY WHL BLD PREDICTIV ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0317U","description":"ONC LUNG CA 4-PRB FISH ASY WHL BLD PREDICTIV ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LUNG MRNA QUAN PCR ALYS 11 GEN and 3 REF GEN ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0288U","description":"ONC LUNG MRNA QUAN PCR ALYS 11 GEN and 3 REF GEN ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LVR SRVLNC HCC ALYS METHYLTN PATTERNS CFDNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0333U","description":"ONC LVR SRVLNC HCC ALYS METHYLTN PATTERNS CFDNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LYNCH SYNDROME GENOMIC DNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0238U","description":"ONC LYNCH SYNDROME GENOMIC DNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MERKEL CELL CARC DETCJ ANTB SERUM QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0058U","description":"ONC MERKEL CELL CARC DETCJ ANTB SERUM QUAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MERKEL CELL CARC DETCJ ANTB SERUM REPRTD  Plus /-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0059U","description":"ONC MERKEL CELL CARC DETCJ ANTB SERUM REPRTD  Plus /-","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MLNMA GEN XPRS PRFL RTQPCR PRAME  AND  LINC00518","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0089U","description":"ONC MLNMA GEN XPRS PRFL RTQPCR PRAME  AND  LINC00518","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MRD GEN SEQ ALYS CFDNA TUMOR TISS BL ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0560U","description":"ONC MRD GEN SEQ ALYS CFDNA TUMOR TISS BL ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MRD GEN SEQ ALYS CFDNA WHL BLD SBSQ ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0561U","description":"ONC MRD GEN SEQ ALYS CFDNA WHL BLD SBSQ ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MRD NEXT-GNRJ TRGT SEQ ALYS CLL-FR DNA 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0306U","description":"ONC MRD NEXT-GNRJ TRGT SEQ ALYS CLL-FR DNA 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MRD NEXT-GNRJ TRGT SEQ ALYS CLL-FR DNA SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0307U","description":"ONC MRD NEXT-GNRJ TRGT SEQ ALYS CLL-FR DNA SBSQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MRNA GENE XPRSN PRFLG 216GENS RNA XPRSN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0586U","description":"ONC MRNA GENE XPRSN PRFLG 216GENS RNA XPRSN ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC NEOPLASIA XOME and TRNS SEQ ALYS DNA and RNA TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0329U","description":"ONC NEOPLASIA XOME and TRNS SEQ ALYS DNA and RNA TUMOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC NONSM CLL LNG CA CELL FREE DNA ALYS 23 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0179U","description":"ONC NONSM CLL LNG CA CELL FREE DNA ALYS 23 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC NSCLC DNA and RNA DPCR ALYS 9 GENES FFPE TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0478U","description":"ONC NSCLC DNA and RNA DPCR ALYS 9 GENES FFPE TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC ORL and /OROP CA GEN XPRSN PRFL RNA 20 MLEC FEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0296U","description":"ONC ORL and /OROP CA GEN XPRSN PRFL RNA 20 MLEC FEAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OROP DETCJ MRD NGS QUAN EVAL 8DNA CFHPV16 and 18","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0470U","description":"ONC OROP DETCJ MRD NGS QUAN EVAL 8DNA CFHPV16 and 18","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0356U","description":"ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0003U","description":"ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OVARIAN BIOCHEM ASSAY 7 PRTNS ALG RSK SCOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0375U","description":"ONC OVARIAN BIOCHEM ASSAY 7 PRTNS ALG RSK SCOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OVARIAN DNA WHOLE GENOME SEQ W/5HMC NRCHMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507U","description":"ONC OVARIAN DNA WHOLE GENOME SEQ W/5HMC NRCHMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OVARIAN SERUM ALYS 39 GPS LC-MS/MS MRM MODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0577U","description":"ONC OVARIAN SERUM ALYS 39 GPS LC-MS/MS MRM MODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN SOL TUM NGS ALYS TUM MTHYLTN MRK CFCTDNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0486U","description":"ONC PAN SOL TUM NGS ALYS TUM MTHYLTN MRK CFCTDNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN SOLID TUM ALYS DNA BMRK RSPSE ANTCA THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0422U","description":"ONC PAN SOLID TUM ALYS DNA BMRK RSPSE ANTCA THER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0332U","description":"ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM WHL GEN OPT MAPG MAL and NML DNA SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0299U","description":"ONC PAN TUM WHL GEN OPT MAPG MAL and NML DNA SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM WHL GEN SEQ PAIRED MAL and NML DNA SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0297U","description":"ONC PAN TUM WHL GEN SEQ PAIRED MAL and NML DNA SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM WHL GEN SEQ and OPT GEN MAPG MAL and NML DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0300U","description":"ONC PAN TUM WHL GEN SEQ and OPT GEN MAPG MAL and NML DNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM WHL TRNS SEQ PAIRED MAL and NML RNA SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0298U","description":"ONC PAN TUM WHL TRNS SEQ PAIRED MAL and NML RNA SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN-SOL TUM CTDNA PLSM NGS 77 GEN 8 FUJN MSI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0530U","description":"ONC PAN-SOL TUM CTDNA PLSM NGS 77 GEN 8 FUJN MSI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PANCREAS 3BMRK GLUC CEA and GASTRICSIN PCLF ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0573U","description":"ONC PANCREAS 3BMRK GLUC CEA and GASTRICSIN PCLF ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PANCREATIC CANCER MULTI IMMUNOASSAY SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0599U","description":"ONC PANCREATIC CANCER MULTI IMMUNOASSAY SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAP THYR CA RNA SEQ 82CNT and 10HSKP GEN FNA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0362U","description":"ONC PAP THYR CA RNA SEQ 82CNT and 10HSKP GEN FNA ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PLSM CLL DO and MYLOMA CRCG PLSM CLL IMMLG SLCTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0337U","description":"ONC PLSM CLL DO and MYLOMA CRCG PLSM CLL IMMLG SLCTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PNCRS DNA and MRNA NXT-GNRJ SEQ ALYS 74 GEN and CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0313U","description":"ONC PNCRS DNA and MRNA NXT-GNRJ SEQ ALYS 74 GEN and CEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PNCRTC CA AUGMNT ALG ALYS 16GEN PREV SEQ RNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0510U","description":"ONC PNCRTC CA AUGMNT ALG ALYS 16GEN PREV SEQ RNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PNCRTC CA MULT IA ECLIA SRM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0342U","description":"ONC PNCRTC CA MULT IA ECLIA SRM ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PROSTATE 5 DNA REG MRK QUAN PCR WHL BLD ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0433U","description":"ONC PROSTATE 5 DNA REG MRK QUAN PCR WHL BLD ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PROSTATE IA TOTAL and FREE PSA SERUM/PLASMA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0609U","description":"ONC PROSTATE IA TOTAL and FREE PSA SERUM/PLASMA ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PROSTATE MRNA XPRSN PRFLG HOXC6  and DLX1 RT-PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0339U","description":"ONC PROSTATE MRNA XPRSN PRFLG HOXC6  and DLX1 RT-PCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 ALYS CRCG PLSM PRTNS GERMLINE POLYG RS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0495U","description":"ONC PRST8 ALYS CRCG PLSM PRTNS GERMLINE POLYG RS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 AUGMNT ALG ALYS DGTZ WHL-SLIDE IMG MSI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0512U","description":"ONC PRST8 AUGMNT ALG ALYS DGTZ WHL-SLIDE IMG MSI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 AUGMNT ALG ALYS IMG HLOG FEAT MSI and HRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513U","description":"ONC PRST8 AUGMNT ALG ALYS IMG HLOG FEAT MSI and HRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0359U","description":"ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 CA BIOCHEM ALYS 3 PROTEIN PLASMA SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0591U","description":"ONC PRST8 CA BIOCHEM ALYS 3 PROTEIN PLASMA SERUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 CA MRNA 12 GENES BLD PLSM  and /UR ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0011M","description":"ONC PRST8 CA MRNA 12 GENES BLD PLSM  and /UR ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 DETCJ 8 AUTOANTIBODIES ALG RSK SCOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0021U","description":"ONC PRST8 DETCJ 8 AUTOANTIBODIES ALG RSK SCOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 HT TELOMERE LNGTH QFISH WHL BLD DX ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0572U","description":"ONC PRST8 HT TELOMERE LNGTH QFISH WHL BLD DX ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MIRNA SNP ALYS RT-PCR 32VRNT BUCC SWAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0534U","description":"ONC PRST8 MIRNA SNP ALYS RT-PCR 32VRNT BUCC SWAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA GEN XPRSN PRFL RT-PCR 6GEN FFPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0497U","description":"ONC PRST8 MRNA GEN XPRSN PRFL RT-PCR 6GEN FFPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MULTIANAL MOLEC PRFL PHOTOMETRIC DETCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0228U","description":"ONC PRST8 MULTIANAL MOLEC PRFL PHOTOMETRIC DETCJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81551","description":"ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 XOME BASED ALYS 442 SNCRNA RT-QPCR UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0343U","description":"ONC PRST8 XOME BASED ALYS 442 SNCRNA RT-QPCR UR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 XOME BASED ALYS 53 SNCRNA RT-QPCR UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0424U","description":"ONC PRST8 XOME BASED ALYS 53 SNCRNA RT-QPCR UR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC RNA WHL TRANSCIPTOME SEQ TISS PREDCT ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0019U","description":"ONC RNA WHL TRANSCIPTOME SEQ TISS PREDCT ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC RSPSE CHEMOTX RX MOTILITY CNTRST TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0083U","description":"ONC RSPSE CHEMOTX RX MOTILITY CNTRST TOMOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC RX-GENOMIC ALYS SNP GNOTYP RT-PCR 24 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0461U","description":"ONC RX-GENOMIC ALYS SNP GNOTYP RT-PCR 24 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORG NEO DNA 468 CANCER ASSOCIATED GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0048U","description":"ONC SLD ORG NEO DNA 468 CANCER ASSOCIATED GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0250U","description":"ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/ Plus  GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0334U","description":"ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/ Plus  GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD TUM CRCG TUMOR CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0338U","description":"ONC SLD TUM CRCG TUMOR CELL SELECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0172U","description":"ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM CELL CUL 3D MICROENVIR 36 Plus  RX PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0511U","description":"ONC SOL TUM CELL CUL 3D MICROENVIR 36 Plus  RX PANEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM CFCDNA TGSAP 84GEN INTERROG SEQ VRNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0487U","description":"ONC SOL TUM CFCDNA TGSAP 84GEN INTERROG SEQ VRNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM CFDNA and RNA NGS IR GM CHIP TUM-DRV SNV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0485U","description":"ONC SOL TUM CFDNA and RNA NGS IR GM CHIP TUM-DRV SNV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM CTC SLCTN CD45 and QUAN PD-L1 PRTN BMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0492U","description":"ONC SOL TUM CTC SLCTN CD45 and QUAN PD-L1 PRTN BMRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM DNA80 and RNA10 GENS NGS PLSM SNV INDELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0571U","description":"ONC SOL TUM DNA80 and RNA10 GENS NGS PLSM SNV INDELS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM NGS DNA FFPE TISS 517GEN INTEROG SNV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0543U","description":"ONC SOL TUM NGS DNA FFPE TISS 517GEN INTEROG SNV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM TGSA 33 GENES DETC SNVS CFDNA PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0562U","description":"ONC SOL TUM TGSA 33 GENES DETC SNVS CFDNA PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0244U","description":"ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUM GEN XPRSN PRFL RT-PCR 7 GEN PTHWY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0262U","description":"ONC SOLID TUM GEN XPRSN PRFL RT-PCR 7 GEN PTHWY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0174U","description":"ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUM NGTS ALYS FFPE DNA ALYS 600 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0538U","description":"ONC SOLID TUM NGTS ALYS FFPE DNA ALYS 600 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR CFCTDNA 152 GEN NGS INTERROG SNV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0539U","description":"ONC SOLID TUMOR CFCTDNA 152 GEN NGS INTERROG SNV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR CTC SLCTN CD45 and QUAN ER PRTN BMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0491U","description":"ONC SOLID TUMOR CTC SLCTN CD45 and QUAN ER PRTN BMRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR DNA QUAL NGS SNV 22GEN FFPE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0523U","description":"ONC SOLID TUMOR DNA QUAL NGS SNV 22GEN FFPE TISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR NGS ALYS TMM  GT 20000 DMRS CFCTDNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0569U","description":"ONC SOLID TUMOR NGS ALYS TMM  GT 20000 DMRS CFCTDNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0473U","description":"ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SPHEROID CELL CUL 11-RX PANEL OVR/FLP/PERTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525U","description":"ONC SPHEROID CELL CUL 11-RX PANEL OVR/FLP/PERTL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SPHRD CLL CUL 12 RX PANEL BRN/BRN METS RSPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0248U","description":"ONC SPHRD CLL CUL 12 RX PANEL BRN/BRN METS RSPSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC THYR 10 MICRORNA SEQ  Plus /- RSLT MOD HI RSK MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0018U","description":"ONC THYR 10 MICRORNA SEQ  Plus /- RSLT MOD HI RSK MAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC THYR DNA AND MRNA 112 GENES FNA NDUL ALG ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0026U","description":"ONC THYR DNA AND MRNA 112 GENES FNA NDUL ALG ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC THYR DNA and MRNA NEXT-GEN SEQ ALYS 112 GEN ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0287U","description":"ONC THYR DNA and MRNA NEXT-GEN SEQ ALYS 112 GEN ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0245U","description":"ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC UROTHELIAL CANCER RNA RT-PCR FGFR3 GENE ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0154U","description":"ONC UROTHELIAL CANCER RNA RT-PCR FGFR3 GENE ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC UROTHELIAL CARC DNA MTHYLTN and MUT ALYS 6 BMRKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0613U","description":"ONC UROTHELIAL CARC DNA MTHYLTN and MUT ALYS 6 BMRKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC UROTHELIAL CARC DNA QMSP 2 GENES ALG ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0465U","description":"ONC UROTHELIAL CARC DNA QMSP 2 GENES ALG ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL DNA QUAN MTHYLTD RT PCR TRNA-CYS SIM2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0549U","description":"ONC URTHL DNA QUAN MTHYLTD RT PCR TRNA-CYS SIM2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA 5 GENES UR ALG RISK UROTHELIAL CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012M","description":"ONC URTHL MRNA 5 GENES UR ALG RISK UROTHELIAL CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA 5 GENES UR ALG RSK RECR URTHL CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0013M","description":"ONC URTHL MRNA 5 GENES UR ALG RSK RECR URTHL CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0363U","description":"ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA XPRSN PRFL RT QUAN PCR DDPCR 6SNP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0420U","description":"ONC URTHL MRNA XPRSN PRFL RT QUAN PCR DDPCR 6SNP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC WHL BLD/BUCCAL DNA SNP GNOTYP RT-PCR 24 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0460U","description":"ONC WHL BLD/BUCCAL DNA SNP GNOTYP RT-PCR 24 GENE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9128","description":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9128","description":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9130","description":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9130","description":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9068","description":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9068","description":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81503","description":"ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCO (OVARIAN) BIOCHEMICAL ASSAY TWO PROTEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81500","description":"ONCO (OVARIAN) BIOCHEMICAL ASSAY TWO PROTEINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY COLON CANCER TRGT KRAS AND NRAS GENE ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0111U","description":"ONCOLOGY COLON CANCER TRGT KRAS AND NRAS GENE ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81525","description":"ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY GYNE LIVE TUM CELL CLTR AND CHEMO RESP 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81535","description":"ONCOLOGY GYNE LIVE TUM CELL CLTR AND CHEMO RESP 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY GYNE LIVE TUM CELL CLTR AND CHEMO RESP ADD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81536","description":"ONCOLOGY GYNE LIVE TUM CELL CLTR AND CHEMO RESP ADD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY HCC DNA MTHYLTN ALYS GT 5000 SITES WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0620U","description":"ONCOLOGY HCC DNA MTHYLTN ALYS GT 5000 SITES WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0360U","description":"ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81538","description":"ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY PRST8 MEAS PCA3 AND TMPRSS2-ERG UR AND PSA SRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0113U","description":"ONCOLOGY PRST8 MEAS PCA3 AND TMPRSS2-ERG UR AND PSA SRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY TISSUE OF ORIGIN SIMILAR SCOR ALGORITHM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81504","description":"ONCOLOGY TISSUE OF ORIGIN SIMILAR SCOR ALGORITHM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81540","description":"ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4019","description":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83951","description":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONDANSETRON ORAL 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0119","description":"ONDANSETRON ORAL 4 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1109","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1114","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1119","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1124","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1129","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1133","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1147","description":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1148","description":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1134","description":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1146","description":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1113","description":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1108","description":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1128","description":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1123","description":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1118","description":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1132","description":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1110","description":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1125","description":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1130","description":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1115","description":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1120","description":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6612","description":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - METALLIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2542","description":"ONLAY - METALLIC - TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2644","description":"ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2643","description":"ONLAY - PORCELAIN/CERAMIC - THREE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2642","description":"ONLAY - PORCELAIN/CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY METALLIC FOUR OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2544","description":"ONLAY METALLIC FOUR OR MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY METALLIC THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2543","description":"ONLAY METALLIC THREE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2982","description":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2664","description":"ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSITE THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2663","description":"ONLAY RESIN BASED COMPOSITE THREE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSITE TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2662","description":"ONLAY RESIN BASED COMPOSITE TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOCYTE ID FROM FOLLICULAR FLU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89254","description":"OOCYTE ID FROM FOLLICULAR FLU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OP IV INSULIN TX MEASURE RQ  and /UUN  and /GLU  and /K Pl","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9147","description":"OP IV INSULIN TX MEASURE RQ  and /UUN  and /GLU  and /K Pl","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BX/EXCISION DEEP CERV NODE INTRAOP ID SLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7503","description":"OPEN BX/EXCISION DEEP CERV NODE INTRAOP ID SLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPL HGN NEUROSTIMULATOR ARRAY  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8007","description":"OPEN IMPL HGN NEUROSTIMULATOR ARRAY  and  PULSE GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION HGN NS ELECTRODE ARRAY and RCVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8011","description":"OPEN IMPLANTATION HGN NS ELECTRODE ARRAY and RCVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ INT NEUROSTIMULATION SYS VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0908T","description":"OPEN IMPLTJ INT NEUROSTIMULATION SYS VAGUS NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INT NSTIMJ SYS PTN SUBQ and SUBF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0988T","description":"OPEN INSJ/RPLCMT INT NSTIMJ SYS PTN SUBQ and SUBF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0817T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0816T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ISLET CELL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0586T","description":"OPEN ISLET CELL TRANSPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REDUCTION OF DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7810","description":"OPEN REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH AGE-RELATED MAC DEGENERATION ALYS 3 GEN VRNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0205U","description":"OPH AGE-RELATED MAC DEGENERATION ALYS 3 GEN VRNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4020","description":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0412","description":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.624,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88375","description":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0002","description":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIMAL CARE PT UROLOGIC COND MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1423","description":"OPTIMAL CARE PT UROLOGIC COND MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4550F","description":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTO-ACOUSTIC IMG BREAST UNI AUGMNT ALYS and REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0857T","description":"OPTO-ACOUSTIC IMG BREAST UNI AUGMNT ALYS and REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.232,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL APPLIANCE THERAPY TITRATION VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9955","description":"ORAL APPLIANCE THERAPY TITRATION VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1027","description":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DVC NM ELC STIM TONGUE MUSC PWR S and C ELC 90D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0493","description":"ORAL DVC NM ELC STIM TONGUE MUSC PWR S and C ELC 90D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0145","description":"ORAL EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL HYGIENE INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1330","description":"ORAL HYGIENE INSTRUCTIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9954","description":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9954","description":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL/FACIAL PHOTO IMAGE OBTAIN INTRA/EXTRAORLLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0350","description":"ORAL/FACIAL PHOTO IMAGE OBTAIN INTRA/EXTRAORLLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5915","description":"ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5928","description":"ORBITAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.998,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0485","description":"ORL DEVC/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OROANTRAL FISTULA CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7260","description":"OROANTRAL FISTULA CLOSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHODONTIC RETENTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8680","description":"ORTHODONTIC RETENTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOP/DEV/DG MATRIX/ABSRB BONE VOID FIL AM-ELUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1602","description":"ORTHOP/DEV/DG MATRIX/ABSRB BONE VOID FIL AM-ELUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3222","description":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3250","description":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3217","description":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3206","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3204","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE MODIFICATION ADDITION/TRANSFER NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3649","description":"ORTHOPED SHOE MODIFICATION ADDITION/TRANSFER NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3202","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3201","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3257","description":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3216","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3221","description":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3207","description":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3203","description":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4021","description":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC  and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC  and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7950","description":"OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4261","description":"OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 4 OR GT  CONTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4260","description":"OSSEOUS SURG 4 OR GT  CONTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7940","description":"OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0594T","description":"OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7943","description":"OSTEOT-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY - MANDIBULAR RAMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7941","description":"OSTEOTOMY - MANDIBULAR RAMI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2115","description":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SEGMENTED OR SUBAPICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7944","description":"OSTEOTOMY SEGMENTED OR SUBAPICAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY-BODY OF MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7945","description":"OSTEOTOMY-BODY OF MANDIBLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FILTER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4368","description":"OSTOMY FILTER ANY TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FILTER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4368","description":"OSTOMY FILTER ANY TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MOTORIZED/POWER WHEELCHAIR BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0014","description":"OTHER MOTORIZED/POWER WHEELCHAIR BASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER ORAL PATHOLOGY PROCEDURES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0502","description":"OTHER ORAL PATHOLOGY PROCEDURES BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0321","description":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4022","description":"OTOLARYNGOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVER-BED TABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0274","description":"OVER-BED TABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERDENTURE CMPLT MANDIBULAR NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5865","description":"OVERDENTURE CMPLT MANDIBULAR NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERDENTURE CMPLT MAXILLARY NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5863","description":"OVERDENTURE CMPLT MAXILLARY NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERDENTURE PRTL MANDIBULAR NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5866","description":"OVERDENTURE PRTL MANDIBULAR NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERDENTURE PRTL MAXILLARY NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5864","description":"OVERDENTURE PRTL MAXILLARY NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERLAY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4352","description":"OVERLAY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8121","description":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3035F","description":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3037F","description":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3037F","description":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0455","description":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0559","description":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMAKER LEADLESS DUAL CHAMBER RATE-RESPONSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1605","description":"PACEMAKER LEADLESS DUAL CHAMBER RATE-RESPONSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6441","description":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6441","description":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PADDING FOR COMPRESSION BANDAGE ROLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8430","description":"PADDING FOR COMPRESSION BANDAGE ROLL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN MGMT ALYS 11 ENDOGENOUS ANALYTES URINE ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0117U","description":"PAIN MGMT ALYS 11 ENDOGENOUS ANALYTES URINE ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN MGMT MRNA GEN XPRSN PRFL RNA SEQ 36 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0290U","description":"PAIN MGMT MRNA GEN XPRSN PRFL RNA SEQ 36 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL AUGMENTATION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5954","description":"PALATAL AUGMENTATION PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL LIFT PROSTHESIS DEFINITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5955","description":"PALATAL LIFT PROSTHESIS DEFINITIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL LIFT PROSTHESIS INTERIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5958","description":"PALATAL LIFT PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL LIFT PROSTHESIS MODIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5959","description":"PALATAL LIFT PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0137U","description":"PALB2 MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4354","description":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0031","description":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9988","description":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9992","description":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1309","description":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE TREATMENT OF DENTAL PAIN - PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9110","description":"PALLIATIVE TREATMENT OF DENTAL PAIN - PER VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANORAMIC RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0330","description":"PANORAMIC RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0701","description":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0207","description":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0208","description":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARANASAL SINUS ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9024","description":"PARANASAL SINUS ULTRASOUND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTING CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9444","description":"PARENTING CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.756,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B5200","description":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7550","description":"PART OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3222","description":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXTRACTION FOR IMMEDIATE IMPLANT PLCMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7252","description":"PARTIAL EXTRACTION FOR IMMEDIATE IMPLANT PLCMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HOSPITALIZATION SERVICES LT  24 HR PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0201","description":"PARTIAL HOSPITALIZATION SERVICES LT  24 HR PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PASSIVE PROSTHETIC DIGIT/THUMB PROS DIGIT/THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6039","description":"PASSIVE PROSTHETIC DIGIT/THUMB PROS DIGIT/THUMB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3267F","description":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3267F","description":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9431","description":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9431","description":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9428","description":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9428","description":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1166","description":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9939","description":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9939","description":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4023","description":"PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1501","description":"PATHOLOGY MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0041","description":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIAGNOSIS FOR CHRONIC HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1461","description":"PATIENT DIAGNOSIS FOR CHRONIC HEPATITIS C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1304","description":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1458","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4562F","description":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1505F","description":"PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1153","description":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1365","description":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENCTR DUR PERF PRD WITH POS CODE 11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1382","description":"PATIENT ENCTR DUR PERF PRD WITH POS CODE 11","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT EVER HAD A DIAGNOSIS OF DEMENTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1452","description":"PATIENT EVER HAD A DIAGNOSIS OF DEMENTIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT EXHIBITS 2 OR GT  RISK FAC POST-OP VOMITING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9954","description":"PATIENT EXHIBITS 2 OR GT  RISK FAC POST-OP VOMITING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT EXHIBITS 2 OR GT  RISK FAC POST-OP VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9954","description":"PATIENT EXHIBITS 2 OR GT  RISK FAC POST-OP VOMITING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT FOLLOW UP MORE THAN 180 DAYS AFTER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1465","description":"PATIENT FOLLOW UP MORE THAN 180 DAYS AFTER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9416","description":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9416","description":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD A HEART TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1456","description":"PATIENT HAD A HEART TRANSPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1306","description":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4561F","description":"PATIENT HAS A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS COPD SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1218","description":"PATIENT HAS COPD SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1504F","description":"PATIENT HAS RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IN HOSPICE/PCS AT ANY TIME DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1459","description":"PATIENT IN HOSPICE/PCS AT ANY TIME DUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3762F","description":"PATIENT IS DYSARTHRIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3763F","description":"PATIENT IS NOT DYSARTHRIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT BATHROOM OR TOILET NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0625","description":"PATIENT LIFT BATHROOM OR TOILET NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0640","description":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT MONTH  GT 1 MCP PROVIDER LISTED FOR MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1025","description":"PATIENT MONTH  GT 1 MCP PROVIDER LISTED FOR MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NAV SRV PROV DIR/REF; EA ADD 30 MIN SRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0535","description":"PATIENT NAV SRV PROV DIR/REF; EA ADD 30 MIN SRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9417","description":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9417","description":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1290","description":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0039","description":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1312","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ON ORAL CHEMOTHERAPY DURING THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1435","description":"PATIENT ON ORAL CHEMOTHERAPY DURING THE PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0036","description":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVD HOSPICE SERV ANY TIME DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1416","description":"PATIENT RCVD HOSPICE SERV ANY TIME DUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1305","description":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVD REC DOSES OF HEP B VACC D/T AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1468","description":"PATIENT RCVD REC DOSES OF HEP B VACC D/T AGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4194F","description":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4194F","description":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4193F","description":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4193F","description":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVED COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9956","description":"PATIENT RECEIVED COMBINATION THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVED COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9956","description":"PATIENT RECEIVED COMBINATION THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1231","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1232","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9914","description":"PATIENT RECEIVING AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0034","description":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1283","description":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1282","description":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9903","description":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9903","description":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE  AND  ID AS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9902","description":"PATIENT SCR TOBACCO USE  AND  ID AS TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE  AND  ID AS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9902","description":"PATIENT SCR TOBACCO USE  AND  ID AS TOBACCO USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2197","description":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9861","description":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9861","description":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STATUS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1489","description":"PATIENT STATUS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STATUS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1490","description":"PATIENT STATUS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1259","description":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1260","description":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL  and  D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL  and  D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1188","description":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTIVE DX BD TM PR END MEAS ASSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1447","description":"PATIENTS ACTIVE DX BD TM PR END MEAS ASSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1266","description":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ADMITTED TO A SNF DUR THE PRD OF EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1486","description":"PATIENTS ADMITTED TO A SNF DUR THE PRD OF EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS BASELINE  and  F/U PROMIS SURV DOC MED REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1403","description":"PATIENTS BASELINE  and  F/U PROMIS SURV DOC MED REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS BSLN  and  F/U PROMIS SURV DOC MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1398","description":"PATIENTS BSLN  and  F/U PROMIS SURV DOC MED RCRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1317","description":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1254","description":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOCUMENT EXAM PERF FOR RECUR MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1388","description":"PATIENTS DOCUMENT EXAM PERF FOR RECUR MELANOMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS EXCISIONAL SURG MEL/MMIS IN PAST 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1386","description":"PATIENTS EXCISIONAL SURG MEL/MMIS IN PAST 5 YRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS GL BRCA TST BFR DX OV FT/PERITONEAL CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1408","description":"PATIENTS GL BRCA TST BFR DX OV FT/PERITONEAL CA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1324","description":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS IN HOSPICE THE YEAR BFR/DUR PRD OF EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1487","description":"PATIENTS IN HOSPICE THE YEAR BFR/DUR PRD OF EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1263","description":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS METASTATIC NSCLC EGFR MUT ALK OTH ABN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1412","description":"PATIENTS METASTATIC NSCLC EGFR MUT ALK OTH ABN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO DX RECUR MELANOMA DUR CUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1393","description":"PATIENTS NO DX RECUR MELANOMA DUR CUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO GERMLINE TESTING BRCA1  and  BRCA2/GC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1410","description":"PATIENTS NO GERMLINE TESTING BRCA1  and  BRCA2/GC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO REPEAT HCV RNA LABS PERF MED REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1484","description":"PATIENTS NO REPEAT HCV RNA LABS PERF MED REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1354","description":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1182","description":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1363","description":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1267","description":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT UP TO DATE COVID-19 VACC DEFIN CDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1419","description":"PATIENTS NOT UP TO DATE COVID-19 VACC DEFIN CDC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ON A THERAPEUTIC CLINICAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1396","description":"PATIENTS ON A THERAPEUTIC CLINICAL TRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ON A THERAPEUTIC CLINICAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1404","description":"PATIENTS ON A THERAPEUTIC CLINICAL TRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1180","description":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS POS PD-L1 BIOMARK EXPR TST BFR ICI TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1413","description":"PATIENTS POS PD-L1 BIOMARK EXPR TST BFR ICI TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS RCVD GERMLINE TESTING BRCA1  and  BRCA2/GC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1409","description":"PATIENTS RCVD GERMLINE TESTING BRCA1  and  BRCA2/GC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS RECEIVING RRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1199","description":"PATIENTS RECEIVING RRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS RECV INIT CHEMO DEFIN DUR ELIG CLIN/GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1402","description":"PATIENTS RECV INIT CHEMO DEFIN DUR ELIG CLIN/GRP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT REP A FALL SINCE THE LAST VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1494","description":"PATIENTS THAT REP A FALL SINCE THE LAST VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CLINICAL INDIC FOR IMAG OF THE HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1462","description":"PATIENTS W/CLINICAL INDIC FOR IMAG OF THE HEAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9408","description":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9408","description":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/PRE-OP VIS ACUITY BETTER THAN 20/40","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1453","description":"PATIENTS W/PRE-OP VIS ACUITY BETTER THAN 20/40","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT REPORT A FALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1492","description":"PATIENTS WHO DID NOT REPORT A FALL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED ANY TIME PR END MEAS ASSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1446","description":"PATIENTS WHO DIED ANY TIME PR END MEAS ASSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE FOLLOW-UP PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1400","description":"PATIENTS WHO DIED DURING THE FOLLOW-UP PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE FOLLOW-UP PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1407","description":"PATIENTS WHO DIED DURING THE FOLLOW-UP PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1356","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1362","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1342","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1384","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1387","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1262","description":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO LEAVE THE PRACTICE DUR F/U PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1399","description":"PATIENTS WHO LEAVE THE PRACTICE DUR F/U PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO LEAVE THE PRACTICE DUR F/U PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1406","description":"PATIENTS WHO LEAVE THE PRACTICE DUR F/U PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1320","description":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 2ND STROKE W/I 5 DAYS OF INIT PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1381","description":"PATIENTS WITH 2ND STROKE W/I 5 DAYS OF INIT PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1326","description":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1328","description":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1151","description":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH AN EXISTING DX OF LYNCH SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1467","description":"PATIENTS WITH AN EXISTING DX OF LYNCH SYNDROME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1271","description":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DIAGNOSIS OF DEMENTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1474","description":"PATIENTS WITH DIAGNOSIS OF DEMENTIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DIAGNOSIS OF HUNTINGTON'S DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1475","description":"PATIENTS WITH DIAGNOSIS OF HUNTINGTON'S DISEASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX COGNITIVE IMPAIR/ALZHEIMER'S DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1476","description":"PATIENTS WITH DX COGNITIVE IMPAIR/ALZHEIMER'S DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PD ANY TM PR END MEAS ASSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1448","description":"PATIENTS WITH DX PD ANY TM PR END MEAS ASSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1295","description":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1152","description":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0043","description":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0044","description":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH RECURRENCE/DISEASE PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1397","description":"PATIENTS WITH RECURRENCE/DISEASE PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH RECURRENCE/DISEASE PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1405","description":"PATIENTS WITH RECURRENCE/DISEASE PROGRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9409","description":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9409","description":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATTERN ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0509T","description":"PATTERN ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2025","description":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC BREAST BX USING MR GUID PLCMT BREAST LOC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7502","description":"PC BREAST BX USING MR GUID PLCMT BREAST LOC DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","billing_code_type":"CPT","billing_code_type_version":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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81314","description":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8110","description":"PEAK EXPIRATORY FLOW RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD CLIN RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0178U","description":"PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD CLIN RXN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD PROB ALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0165U","description":"PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD PROB ALL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT W/MIN BLUNT HD TRAUMA  and  PECARN NOT ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0047","description":"PED PT W/MIN BLUNT HD TRAUMA  and  PECARN NOT ASSESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED VSCLTS KD ALYS 3 BMRK PLSM ALG RSK SCORE KD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0310U","description":"PED VSCLTS KD ALYS 3 BMRK PLSM ALG RSK SCORE KD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED WHL GENOME MTHYLTN ALYS MICRORA 50 Plus GENES BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0318U","description":"PED WHL GENOME MTHYLTN ALYS MICRORA 50 Plus GENES BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PARTIAL DENTURE FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6985","description":"PEDIATRIC PARTIAL DENTURE FIXED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4024","description":"PEDIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDICLE SOFT TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4270","description":"PEDICLE SOFT TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDICULOSIS TX TOPICAL ADMIN PATIENT/CARETAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9180","description":"PEDICULOSIS TX TOPICAL ADMIN PATIENT/CARETAKER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEER REC SUP SRV PRVD DIR/REF; EA ADD 30 MIN SRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0536","description":"PEER REC SUP SRV PRVD DIR/REF; EA ADD 30 MIN SRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE CONTRACTURE DEV MANUAL  GT 3 LBS TRXN FORCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0201","description":"PENILE CONTRACTURE DEV MANUAL  GT 3 LBS TRXN FORCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE PLETHYSMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54240","description":"PENILE PLETHYSMOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.57,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ISLET CELL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0584T","description":"PERCUTANEOUS ISLET CELL TRANSPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT PERM CC EMB PROT DVC; BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8010","description":"PERCUTANEOUS PLACEMENT PERM CC EMB PROT DVC; BIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TISSUE DISPLACEMENT SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1024T","description":"PERCUTANEOUS TISSUE DISPLACEMENT SOFT TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUM COR ANGIO W/COR LITHOTRPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7571","description":"PERCUTANEOUS TRANSLUM COR ANGIO W/COR LITHOTRPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL CORO ANGIO W/IVUS/OCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7569","description":"PERCUTANEOUS TRANSLUMINAL CORO ANGIO W/IVUS/OCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL MECH TB VEIN IV U/S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7564","description":"PERCUTANEOUS TRANSLUMINAL MECH TB VEIN IV U/S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORATED CONT INF CATH SET NON-OPIOID MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9813","description":"PERFORATED CONT INF CATH SET NON-OPIOID MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3005","description":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5995","description":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5996","description":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC ORTHODONTIC TREATMENT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8670","description":"PERIODIC ORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4910","description":"PERIODONTAL MAINTENANCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPROCEDURAL DEVICE EVALUATION IN PERSON ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0684T","description":"PERIPROCEDURAL DEVICE EVALUATION IN PERSON ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4653","description":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS CLAMPS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1634","description":"PERITONEAL DIALYSIS CLAMPS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53454","description":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53451","description":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53453","description":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53452","description":"PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV  AND  DEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4264","description":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV  AND  DEL SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM B PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2018","description":"PERMEADERM C PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2017","description":"PERMEADERM GLOVE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST BX USING ST GUID PLCMT BRST LOC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7501","description":"PERQ BREAST BX USING ST GUID PLCMT BRST LOC DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64567","description":"PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ EXCH BD CATH W/REM CALCULI/DEB FROM BD and /GB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7545","description":"PERQ EXCH BD CATH W/REM CALCULI/DEB FROM BD and /GB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ IMPLTJ/RPLCMT ISDNS BLDR DYSF PTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0587T","description":"PERQ IMPLTJ/RPLCMT ISDNS BLDR DYSF PTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0341","description":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ LAMOT/LAM DCMPRN NEURAL ELEMENTS CRV/THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0274T","description":"PERQ LAMOT/LAM DCMPRN NEURAL ELEMENTS CRV/THRC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0627T","description":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0628T","description":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0629T","description":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0630T","description":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX CALCIUM BIOD OSTEOCONDUCTIVE MATRL FEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0814T","description":"PERQ NJX CALCIUM BIOD OSTEOCONDUCTIVE MATRL FEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2 OR GT  NDLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0201T","description":"PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2 OR GT  NDLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1 OR GT  NDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0200T","description":"PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1 OR GT  NDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT IMPLTJ INTRATRL SEPTAL SHUNT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0613T","description":"PERQ TCAT IMPLTJ INTRATRL SEPTAL SHUNT DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0913T","description":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT THER RX DLVR NTRAC RX BALO SEPARATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0914T","description":"PERQ TCAT THER RX DLVR NTRAC RX BALO SEPARATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT US ABLATION NERVES INNERVATING P-ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0632T","description":"PERQ TCAT US ABLATION NERVES INNERVATING P-ART","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TISS DISPLACEMENT INTRA-ABDL/PELVIC STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1022T","description":"PERQ TISS DISPLACEMENT INTRA-ABDL/PELVIC STRUX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TISS DISPLACEMENT INTRATHORACIC STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1023T","description":"PERQ TISS DISPLACEMENT INTRATHORACIC STRUCTURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL COR ANGIOPLASTY SINGLE MAJOR COR ART/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7533","description":"PERQ TL COR ANGIOPLASTY SINGLE MAJOR COR ART/BR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL REV AC TOTAL/SUBTOTAL OCCLUSION 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9606","description":"PERQ TL REV AC TOTAL/SUBTOTAL OCCLUSION 1 VES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VA AUG 1ST THOR  and  ANY ADD THOR/L VA BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7507","description":"PERQ VA AUG 1ST THOR  and  ANY ADD THOR/L VA BODIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VA AUG FIRST LMB  and  ANY ADD THOR/L VA BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7508","description":"PERQ VA AUG FIRST LMB  and  ANY ADD THOR/L VA BODIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VTP FIRST CT  and  ANY ADD CT/LS VERT BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7504","description":"PERQ VTP FIRST CT  and  ANY ADD CT/LS VERT BODIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VTP FIRST LS  and  ANY ADD CT/LS VERT BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7505","description":"PERQ VTP FIRST LS  and  ANY ADD CT/LS VERT BODIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONAL CARE ITEM NOS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5199","description":"PERSONAL CARE ITEM NOS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONALIZED TARGET DEVELOPMENT ARHFCMRIGTBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0889T","description":"PERSONALIZED TARGET DEVELOPMENT ARHFCMRIGTBS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAG INIT DX BREST CA and /SURG PLAN NOT COV MCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0252","description":"PET IMAG INIT DX BREST CA and /SURG PLAN NOT COV MCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0219","description":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0235","description":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFAS 24 COMPOUNDS HI-PERF LC-MS/MS PLSM/SRM QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0589U","description":"PFAS 24 COMPOUNDS HI-PERF LC-MS/MS PLSM/SRM QUAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFAS 9 PFAS COMPOUNDS LC-MS/MS PLASMA/SERUM QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0457U","description":"PFAS 9 PFAS COMPOUNDS LC-MS/MS PLASMA/SERUM QUAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFAS LC-MS/MS PLASMA/SERUM QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0535U","description":"PFAS LC-MS/MS PLASMA/SERUM QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFIZER-BIONTECH COVID-19 VAC ADM TS PED-1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1713","description":"PFIZER-BIONTECH COVID-19 VAC ADM TS PED-1ST DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFIZER-BIONTECH COVID-19 VAC ADM TS PED-2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1714","description":"PFIZER-BIONTECH COVID-19 VAC ADM TS PED-2ND DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFIZER-BIONTECH COVID-19 VAC ADM-BOOSTER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1709","description":"PFIZER-BIONTECH COVID-19 VAC ADM-BOOSTER DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PFIZER-BIONTECH COVID-19 VAC ADM-THIRD DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1708","description":"PFIZER-BIONTECH COVID-19 VAC ADM-THIRD DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0596","description":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0333","description":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0333","description":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0510","description":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0510","description":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACY SUPG FEE FOR HIV PRE-EXP PPX FDA-APRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0521","description":"PHARMACY SUPG FEE FOR HIV PRE-EXP PPX FDA-APRVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1097","description":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1097","description":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOENIX WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2015","description":"PHOENIX WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85598","description":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOBIOMODULATION THERAPY OF ORAL CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1011T","description":"PHOTOBIOMODULATION THERAPY OF ORAL CAVITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOBIOMODULATION THERAPY RETINA SINGLE SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0936T","description":"PHOTOBIOMODULATION THERAPY RETINA SINGLE SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOBIOMODULATION TX EA SUBQ 15 MIN INC/ANY PTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9129","description":"PHOTOBIOMODULATION TX EA SUBQ 15 MIN INC/ANY PTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOBIOMODULATION TX FIRST 15 MIN INC/ANY PTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9128","description":"PHOTOBIOMODULATION TX FIRST 15 MIN INC/ANY PTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOREFRACTIVE KERATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0810","description":"PHOTOREFRACTIVE KERATECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPEUTIC KERATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0812","description":"PHOTOTHERAPEUTIC KERATECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0513","description":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0513","description":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0514","description":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0514","description":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; 1 PRSC 30-DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0511","description":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; 1 PRSC 30-DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; 1 PRSC 30-DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0511","description":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; 1 PRSC 30-DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; SUBSQT 30-DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0512","description":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; SUBSQT 30-DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; SUBSQT 30-DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0512","description":"PHRM FEE O ANTI-CA ANTI-EMET/IS RX; SUBSQT 30-DA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0272","description":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0271","description":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9685","description":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS REV INTEPR  AND  PT MGMT HOME INR MON; 1 A WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0250","description":"PHYS REV INTEPR  AND  PT MGMT HOME INR MON; 1 A WEEK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99360","description":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0273","description":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP TELEPHONE EVALUATION 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99442","description":"PHYS/QHP TELEPHONE EVALUATION 11-20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP TELEPHONE EVALUATION 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99441","description":"PHYS/QHP TELEPHONE EVALUATION 5-10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0622","description":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4025","description":"PHYSICAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4026","description":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY; IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9131","description":"PHYSICAL THERAPY; IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL/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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0270","description":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILD/PLACEBO CONTROL CLIN TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0276","description":"PILD/PLACEBO CONTROL CLIN TR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIN RETENTION - PER TOOTH ADDITION RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2951","description":"PIN RETENTION - PER TOOTH ADDITION RESTORATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0347T","description":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0222T","description":"PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT BONE MARROW SAMPLING PORT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0901T","description":"PLACEMENT BONE MARROW SAMPLING PORT W/IMG GDN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CSTM RMV CLEAR PLASTIC TEMP AE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9939","description":"PLACEMENT CSTM RMV CLEAR PLASTIC TEMP AE APPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT OF INTERIM DIRECT RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2940","description":"PLACEMENT OF INTERIM DIRECT RESTORATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT OF INTERIM IMPLANT ABUTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6051","description":"PLACEMENT OF INTERIM IMPLANT ABUTMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT TEMP ANC DEVC W/O FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7294","description":"PLACEMENT TEMP ANC DEVC W/O FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7293","description":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9071","description":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9070","description":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTAZOTE SANDAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3265","description":"PLASTAZOTE SANDAL EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4027","description":"PLASTIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7283","description":"PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT INTRA-SOC BIOL DRSG AID HEMO/CLOT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7922","description":"PLCMT INTRA-SOC BIOL DRSG AID HEMO/CLOT SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7292","description":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT POST FACET IMPLANT UNI/BI W/IMG  and  GRFT CERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0219T","description":"PLMT POST FACET IMPLANT UNI/BI W/IMG  and  GRFT CERV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT LUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0221T","description":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT LUMB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0220T","description":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT THOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SCJNCL RTA PROSTH AND PLS AND IMPLTJ INTRA-OC RTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0100T","description":"PLMT SCJNCL RTA PROSTH AND PLS AND IMPLTJ INTRA-OC RTA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9052","description":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9053","description":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLUMBING  AND OR ELEC WORK HOME HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4870","description":"PLUMBING  AND OR ELEC WORK HOME HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0161U","description":"PMS2 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PODIATRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4028","description":"PODIATRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PODIATRY MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1502","description":"PODIATRY MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLARIZATION ANY LENS MATERIAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2762","description":"POLARIZATION ANY LENS MATERIAL PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4241","description":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYGON3 MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4400","description":"POLYGON3 MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6210","description":"PONTIC - CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6212","description":"PONTIC - CAST NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6211","description":"PONTIC - CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6240","description":"PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - PORCELAIN FUSED TO NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6242","description":"PONTIC - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6243","description":"PONTIC - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6245","description":"PONTIC - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - PORCELN FUSED PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6241","description":"PONTIC - PORCELN FUSED PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6250","description":"PONTIC - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6252","description":"PONTIC - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - RESIN WITH PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6251","description":"PONTIC - RESIN WITH PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6214","description":"PONTIC - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC INDIRECT RESIN BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6205","description":"PONTIC INDIRECT RESIN BASED COMPOSITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORCINE IMPLANT PERMACOL PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9364","description":"PORCINE IMPLANT PERMACOL PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POROUS COLL MATRIX BONE FILLER PUTTY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9359","description":"POROUS COLL MATRIX BONE FILLER PUTTY PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9362","description":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE PEAK FLOW METER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8096","description":"PORTABLE PEAK FLOW METER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POS/DETECT HEPATITIS C VIRUS QUAN/QUAL RNA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1482","description":"POS/DETECT HEPATITIS C VIRUS QUAN/QUAL RNA TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST AND CORE ADDITION TO CROWN INDIRECTLY FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2952","description":"POST AND CORE ADDITION TO CROWN INDIRECTLY FAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2955","description":"POST REMOVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST VERT ARTHRPLSTY W/WO BONE CEMENT 1 LUMB LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0202T","description":"POST VERT ARTHRPLSTY W/WO BONE CEMENT 1 LUMB LVL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.14,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT BFR/12 WKS OF GIVING BIRTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1445","description":"POSTPARTUM CARE VISIT BFR/12 WKS OF GIVING BIRTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0488","description":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER SRC and CTRL ELEC ORAL DVC NEUMUSC ELC STM TNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0492","description":"POWER SRC and CTRL ELEC ORAL DVC NEUMUSC ELC STM TNG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED CABLE DRIVN GRIP ASSIST GLOVE REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8006","description":"POWERED CABLE DRIVN GRIP ASSIST GLOVE REPLC ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED CABLE DRVN GRIP ASSIST GLOVE HAND FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8005","description":"POWERED CABLE DRVN GRIP ASSIST GLOVE HAND FINGER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED SINGLE-USE ENDOSCOPIC U/S-GUIDED BX DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1738","description":"POWERED SINGLE-USE ENDOSCOPIC U/S-GUIDED BX DVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING AND ROOT PLANING 1-3 TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4342","description":"PRDONTAL SCALING AND ROOT PLANING 1-3 TEETH-QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING and ROOT PLANING 4/MORE TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4341","description":"PRDONTAL SCALING and ROOT PLANING 4/MORE TEETH-QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRECISION ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6950","description":"PRECISION ATTACHMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRECISION ATTACHMENT BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5862","description":"PRECISION ATTACHMENT BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRECUNEUS MAGNETIC STIMULATION TREATMENT DLVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0998T","description":"PRECUNEUS MAGNETIC STIMULATION TREATMENT DLVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRECUNEUS MAGNETIC STIMULATION TREATMENT PLNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0997T","description":"PRECUNEUS MAGNETIC STIMULATION TREATMENT PLNG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFAB ESTHETIC COAT STNLESS STEEL CROWN  PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2934","description":"PREFAB ESTHETIC COAT STNLESS STEEL CROWN  PRIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFAB PORCELAIN/CERAMIC CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2929","description":"PREFAB PORCELAIN/CERAMIC CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2931","description":"PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2930","description":"PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2933","description":"PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABRICATED ABUTMENT-INCL MOD  AND  PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6056","description":"PREFABRICATED ABUTMENT-INCL MOD  AND  PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABRICATED PORCELAIN/CER CROWN - PERM TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2928","description":"PREFABRICATED PORCELAIN/CER CROWN - PERM TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABRICATED POST AND CORE IN ADDITION TO CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2954","description":"PREFABRICATED POST AND CORE IN ADDITION TO CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABRICATED RESIN CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2932","description":"PREFABRICATED RESIN CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP READING DOC  and  INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"PREHTN/HTN BP READING DOC  and  INDICATED F/U DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC; F/U HOM VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1004","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; F/U HOM VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL VITAMINS 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0197","description":"PRENATAL VITAMINS 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREORTHODONTIC TREATMENT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8660","description":"PREORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90889","description":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15013","description":"PREPARATION SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SSP AGRFT EA ADDL 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15014","description":"PREPARATION SKIN CELL SSP AGRFT EA ADDL 25 SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SUSP AUTOGRAFT AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8002","description":"PREPARATION SKIN CELL SUSP AUTOGRAFT AUTOMATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ EMBRYO TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89255","description":"PREPJ EMBRYO TR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0735T","description":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DGTL COG and /BEHAV THERAP BF PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9294","description":"PRESCR DGTL COG and /BEHAV THERAP BF PER CRS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9291","description":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG BRAND NAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5001","description":"PRESCRIPTION DRUG BRAND NAME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG GENERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8999","description":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1540","description":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURE MONITORING SYSTEM IMPLANTABLE CNTNUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1742","description":"PRESSURE MONITORING SYSTEM IMPLANTABLE CNTNUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4438","description":"PRETECT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99411","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99412","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1368","description":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4029","description":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0826T","description":"PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0804T","description":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEVICE EVAL IIMS IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528T","description":"PRGRMG DEVICE EVAL IIMS IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0522T","description":"PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0417T","description":"PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0875T","description":"PRGRMG SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMARY CLOSURE OF A SINUS PERFORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7261","description":"PRIMARY CLOSURE OF A SINUS PERFORATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRINC ILLNESS NAV-PEER SUP ADD 30MIN PER CAL MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0146","description":"PRINC ILLNESS NAV-PEER SUP ADD 30MIN PER CAL MON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99426","description":"PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRINCIPAL CARE MGMT SVC EA ADDL 30 STAFF CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99427","description":"PRINCIPAL CARE MGMT SVC EA ADDL 30 STAFF CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRINCIPAL ILLNESS NAVIGATION-PEER SUP 60 MIN/MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0140","description":"PRINCIPAL ILLNESS NAVIGATION-PEER SUP 60 MIN/MON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR HISTORY OF KNOWN CVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1256","description":"PRIOR HISTORY OF KNOWN CVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0514","description":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0513","description":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4026","description":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCUREN/OTH GROWTH FCT PREP PROMOTE WND HEALING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9055","description":"PROCUREN/OTH GROWTH FCT PREP PROMOTE WND HEALING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0070","description":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0070","description":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95120","description":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2 OR GT  NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95125","description":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2 OR GT  NJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95130","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95131","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95132","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95133","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95134","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575T","description":"PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0926T","description":"PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMING DEVICE EVALUATION IN PERSON ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0683T","description":"PROGRAMMING DEVICE EVALUATION IN PERSON ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRESSIVE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2781","description":"PROGRESSIVE LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99358","description":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0076","description":"PROLOTHERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0057","description":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPHYLAXIS - ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1110","description":"PROPHYLAXIS - ADULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPHYLAXIS - CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1120","description":"PROPHYLAXIS - CHILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS PENILE INFLATABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1813","description":"PROSTHESIS PENILE INFLATABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS SERVICE APHAKIA TEMPORARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92358","description":"PROSTHESIS SERVICE APHAKIA TEMPORARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS TOTAL DUAL MOBILITY FIRST CMC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1608","description":"PROSTHESIS TOTAL DUAL MOBILITY FIRST CMC JOINT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8699","description":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC THUMB MECH INITIAL ISSUE/REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6036","description":"PROSTHETIC THUMB MECH INITIAL ISSUE/REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV COVID-19 TST NP SA  and  SELF-COLL 1 TST CNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1034","description":"PROV COVID-19 TST NP SA  and  SELF-COLL 1 TST CNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9970","description":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9969","description":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROVISION REPLC PT ELEC SYS HOME PULM AP MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0555","description":"PROVISION REPLC PT ELEC SYS HOME PULM AP MON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTB O C LQD 1 MO SPL Equal to 1 U PRSC AMT R/N EXCD 4LPM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0447","description":"PRTB O C LQD 1 MO SPL Equal to 1 U PRSC AMT R/N EXCD 4LPM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR AND MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0430","description":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR AND MASK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0435","description":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL CRNEC CH CRTJ and TUN ELTRD SUB-SCALP IMPL CEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0956T","description":"PRTL CRNEC CH CRTJ and TUN ELTRD SUB-SCALP IMPL CEEG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3268F","description":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3268F","description":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0719T","description":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0437U","description":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC BD DNA MTHYLTN ALYS  GT 10000 SITES WHOLE BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0618U","description":"PSYC BD DNA MTHYLTN ALYS  GT 10000 SITES WHOLE BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0345U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0423U","description":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC MDD DNA MTHYLTN ALYS  GT 20000 SITES WHOLE BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0622U","description":"PSYC MDD DNA MTHYLTN ALYS  GT 20000 SITES WHOLE BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC MOOD DO MRNA GEN XPRSN PRFL RNA SEQ 144 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0291U","description":"PSYC MOOD DO MRNA GEN XPRSN PRFL RNA SEQ 144 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC SCZ DNA MTHYLTN ALYS  GT 15000 SITES WHOLE BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0627U","description":"PSYC SCZ DNA MTHYLTN ALYS  GT 15000 SITES WHOLE BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC STRS DO MRNA GEN XPRSN PRFL RNA SEQ 72 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0292U","description":"PSYC STRS DO MRNA GEN XPRSN PRFL RNA SEQ 72 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC SUICDL IDEA MRNA GEN XPRSN PRFL RNA SEQ 54","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0293U","description":"PSYC SUICDL IDEA MRNA GEN XPRSN PRFL RNA SEQ 54","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90885","description":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2013","description":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRY GEN ALYS PNL W/VARIANT ALYS 14 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0173U","description":"PSYCHIATRY GEN ALYS PNL W/VARIANT ALYS 14 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRY GEN ALYS PNL W/VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0175U","description":"PSYCHIATRY GEN ALYS PNL W/VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOACTIVE SUBSTANCE ABUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1478","description":"PSYCHOACTIVE SUBSTANCE ABUSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOSOCIAL REHAB SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2017","description":"PSYCHOSOCIAL REHAB SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTH CRISIS FURN IN APP SITE SRV ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0018","description":"PSYCHOTH CRISIS FURN IN APP SITE SRV ADDL 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTH CRISIS FURNISH APP SITE SRV FIRST 60MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0017","description":"PSYCHOTH CRISIS FURNISH APP SITE SRV FIRST 60MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST TECH 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96138","description":"PSYCL/NRPSYCL TST TECH 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST TECH 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96138","description":"PSYCL/NRPSYCL TST TECH 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST TECH 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96139","description":"PSYCL/NRPSYCL TST TECH 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST TECH 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96139","description":"PSYCL/NRPSYCL TST TECH 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9659","description":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9661","description":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 65 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9898","description":"PT 65 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 65 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9901","description":"PT 65 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9938","description":"PT 66 OR GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9938","description":"PT 66 OR GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9898","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9898","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1284","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9901","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9901","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2101","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1347","description":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1348","description":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1163","description":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1161","description":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1160","description":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9945","description":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9945","description":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER FX/INF REL TO LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9945","description":"PT CANCER FX/INF REL TO LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8721","description":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8721","description":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4320F","description":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4320F","description":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1252","description":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1170","description":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1173","description":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4555F","description":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4555F","description":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV RCMD DOSES HEP B VACC D/T AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1472","description":"PT DID NOT RECV RCMD DOSES HEP B VACC D/T AGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1242","description":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1239","description":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1319","description":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DX OF PDD ANY TM PRIOR END OF MEAS ASSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1451","description":"PT DX OF PDD ANY TM PRIOR END OF MEAS ASSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1162","description":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0035","description":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9445","description":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4305F","description":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4305F","description":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9519","description":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9519","description":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH  and  13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH  and  13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1350","description":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD DX ASTHMA W/ANY CTC DUR CUR/PRR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1457","description":"PT HAD DX ASTHMA W/ANY CTC DUR CUR/PRR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD LUMBAR FUSN SAME DATE AS DISC/LAMI PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1466","description":"PT HAD LUMBAR FUSN SAME DATE AS DISC/LAMI PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1251","description":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3753F","description":"PT HAS CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS HX HEP B/RECV HEP B ANTIGEN POS RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1469","description":"PT HAS HX HEP B/RECV HEP B ANTIGEN POS RESULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3756F","description":"PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1186","description":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1289","description":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1301","description":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER RECV TOB CESSATION INTERVENTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9906","description":"PT ID TOB USER RECV TOB CESSATION INTERVENTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9906","description":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9906","description":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9395","description":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9395","description":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9396","description":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9396","description":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD BY EVAL CLINICIAN  LT DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD BY EVAL CLINICIAN  LT DATE DIAG MDD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH  and  13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH  and  13TH BDAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1176","description":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9457","description":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9457","description":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1318","description":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO DOC EXAM PERF RECUR MEL/NO DOC IN PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1390","description":"PT NO DOC EXAM PERF RECUR MEL/NO DOC IN PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO EXHIBIT 3 Plus  RISK FACTORS POST-OP NAUSEA/VOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4557F","description":"PT NO EXHIBIT 3 Plus  RISK FACTORS POST-OP NAUSEA/VOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO EXHIBIT 3 Plus  RISK FACTORS POST-OP NAUSEA/VOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4557F","description":"PT NO EXHIBIT 3 Plus  RISK FACTORS POST-OP NAUSEA/VOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9520","description":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9520","description":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1233","description":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO POS PD-L1 BIOMARK EXPR TST RSLT BFR ICI TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1415","description":"PT NO POS PD-L1 BIOMARK EXPR TST RSLT BFR ICI TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8567","description":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8567","description":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0037","description":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9468","description":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9468","description":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1179","description":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9470","description":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9470","description":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1240","description":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1241","description":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1208","description":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0582F","description":"PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT UP TO DATE COVID-19 VAC DFIN CDC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1418","description":"PT NOT UP TO DATE COVID-19 VAC DFIN CDC MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1272","description":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4553F","description":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4552F","description":"PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ON OC ON/WITHIN 30 DAYS AFTER DENOM ELIG ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1434","description":"PT ON OC ON/WITHIN 30 DAYS AFTER DENOM ELIG ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ON OC ON/WITHIN 30 DAYS BEFORE DENOM ELIG EN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1433","description":"PT ON OC ON/WITHIN 30 DAYS BEFORE DENOM ELIG EN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1343","description":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0052","description":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1334","description":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROG W/IMPL PROG NEUROSTM PULSE GEN REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8681","description":"PT PROG W/IMPL PROG NEUROSTM PULSE GEN REPL ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9993","description":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1502F","description":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1503F","description":"PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4558F","description":"PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1229","description":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1228","description":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1230","description":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1174","description":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4168F","description":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4168F","description":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1234","description":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1168","description":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC  and END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1171","description":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC  and END","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0048","description":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1177","description":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4554F","description":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4554F","description":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV  GT 5 MG DA PRD GT 6 MO  and  IMP/NO CHNGE DZ ACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2113","description":"PT RECV  GT 5 MG DA PRD GT 6 MO  and  IMP/NO CHNGE DZ ACT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV  LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC  LT 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2112","description":"PT RECV  LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC  LT 6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9964","description":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9964","description":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV INIT CHEMO REG DEFIN DUR ELIG CLIN/GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1395","description":"PT RECV INIT CHEMO REG DEFIN DUR ELIG CLIN/GRP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0040","description":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4563F","description":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANR PROV/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANR PROV/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1253","description":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1250","description":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1248","description":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1247","description":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1249","description":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1237","description":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1255","description":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1245","description":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1246","description":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1244","description":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1243","description":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0059","description":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0030","description":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1207","description":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1310","description":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3759F","description":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3759F","description":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4556F","description":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4556F","description":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1322","description":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0581F","description":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0581F","description":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9764","description":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9764","description":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1149","description":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0051","description":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1417","description":"PT UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1165","description":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9994","description":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1192","description":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1164","description":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1187","description":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3760F","description":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0050","description":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITH DX DEMENTIA THE YEAR BFR/DUR PRD OF EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1488","description":"PT WITH DX DEMENTIA THE YEAR BFR/DUR PRD OF EVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3761F","description":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN FULL GEN ALYS CHANGES DELET DUPL INSJ VRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0235U","description":"PTEN FULL GEN ALYS CHANGES DELET DUPL INSJ VRNTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1292","description":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9910","description":"PTS 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9910","description":"PTS 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1291","description":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1349","description":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1273","description":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1274","description":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1336","description":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS BIL ABS EYES DUR PT HX END OF THE MEAS PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1428","description":"PTS BIL ABS EYES DUR PT HX END OF THE MEAS PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1345","description":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS DID NOT ACHV SUSTAIN VR ID HCV RNA TEST NEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1485","description":"PTS DID NOT ACHV SUSTAIN VR ID HCV RNA TEST NEG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1275","description":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS DX SCZ/PS D/O ANY TM PR END MEAS ASSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1449","description":"PTS DX SCZ/PS D/O ANY TM PR END MEAS ASSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1331","description":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS FUNC CAP/MOTIV IMP MAY IMPACT THE ACC RSLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1473","description":"PTS FUNC CAP/MOTIV IMP MAY IMPACT THE ACC RSLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS FUNC CAP/MOTIVAT TO IMP MAY IMPCT ACC RESLTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1479","description":"PTS FUNC CAP/MOTIVAT TO IMP MAY IMPCT ACC RESLTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS FUNC CAP/MOTIVAT TO IMP MAY IMPCT ACC RESLTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1480","description":"PTS FUNC CAP/MOTIVAT TO IMP MAY IMPCT ACC RESLTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1339","description":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1338","description":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD FALL WHO DID NOT HAVE POC FOR FALLS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1496","description":"PTS HAD FALL WHO DID NOT HAVE POC FOR FALLS DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1351","description":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1344","description":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1353","description":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1332","description":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1341","description":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1346","description":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1358","description":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1327","description":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1270","description":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9897","description":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9897","description":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1325","description":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1321","description":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1268","description":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1261","description":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1329","description":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS RCVD HS/PCS ANY TM DUR ID PRD/MEAS ASSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1450","description":"PTS RCVD HS/PCS ANY TM DUR ID PRD/MEAS ASSMT PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS RECV HS/PALLIAT CARE/WHO DIED DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1481","description":"PTS RECV HS/PALLIAT CARE/WHO DIED DUR MSMT PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1357","description":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS REP FALL W/POC FALLS DOC/PT DID NOT RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1495","description":"PTS REP FALL W/POC FALLS DOC/PT DID NOT RPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1323","description":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS VIROL RESP ID HCV RNA TEST NEG HCV RNA RSLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1483","description":"PTS VIROL RESP ID HCV RNA TEST NEG HCV RNA RSLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM COPD DNA MTHYLTN ALYS  GT 18000 SITES WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0619U","description":"PULM COPD DNA MTHYLTN ALYS  GT 18000 SITES WHL BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81554","description":"PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3758F","description":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3758F","description":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9473","description":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONOLOGY CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1424","description":"PULMONOLOGY CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4030","description":"PULMONOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULP CAP - DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3110","description":"PULP CAP - DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULP CAP - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3120","description":"PULP CAP - INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULP VITALITY TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0460","description":"PULP VITALITY TESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL DEBRIDEMENT PRIMARY AND PERMANENT TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3221","description":"PULPAL DEBRIDEMENT PRIMARY AND PERMANENT TEETH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL REGENERATION - COMPLETION OF TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3357","description":"PULPAL REGENERATION - COMPLETION OF TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL REGENERATION - INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3355","description":"PULPAL REGENERATION - INITIAL VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3356","description":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL THERAPY - ANTERIOR PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3230","description":"PULPAL THERAPY - ANTERIOR PRIMARY TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL THERAPY - POSTERIOR PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3240","description":"PULPAL THERAPY - POSTERIOR PRIMARY TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT  GT 15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15776","description":"PUNCH GRAFT HAIR TRANSPLANT  GT 15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15775","description":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AUTOMATED AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0209T","description":"PURE TONE AUDIOMETRY AUTOMATED AIR  AND  BONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AUTOMATED AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0208T","description":"PURE TONE AUDIOMETRY AUTOMATED AIR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64462","description":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR MOBILTY DVC NOT CODED DME PDAC/NOT MEET CRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0899","description":"PWR MOBILTY DVC NOT CODED DME PDAC/NOT MEET CRIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8702","description":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8701","description":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0884","description":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0868","description":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0724T","description":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0723T","description":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QTC INTERVAL AUGMNT ALG ALYS XTRNL MOBILE ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0902T","description":"QTC INTERVAL AUGMNT ALG ALYS XTRNL MOBILE ECG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1367","description":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1369","description":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0004","description":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0722T","description":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0721T","description":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0697T","description":"QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0649T","description":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0698T","description":"QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0865T","description":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0866T","description":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN US TISS CHARAC I and R W/O DX US SAME ANAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0689T","description":"QUAN US TISS CHARAC I and R W/O DX US SAME ANAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENAORY TEST and INTERPJ/XTR W/HT-PN STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0109T","description":"QUANT SENAORY TEST and INTERPJ/XTR W/HT-PN STIMULI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR OTHER STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0110T","description":"QUANT SENSORY TEST and INTERPJ/XTR OTHER STIMULI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR W/TOUCH STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0106T","description":"QUANT SENSORY TEST and INTERPJ/XTR W/TOUCH STIMULI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR W/VIBRJ STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0107T","description":"QUANT SENSORY TEST and INTERPJ/XTR W/VIBRJ STIMULI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE SOFTWARE MEASUREMENTS CARDIAC VOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0183","description":"QUANTITATIVE SOFTWARE MEASUREMENTS CARDIAC VOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE US TISS CHARAC I and R W/DX US SM ANAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0690T","description":"QUANTITATIVE US TISS CHARAC I and R W/DX US SM ANAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and R EXTERNALLY ACCESSIBLE NEPHROURETERAL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7546","description":"R and R EXTERNALLY ACCESSIBLE NEPHROURETERAL CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T FLUORESCENCE WOUND IMG 1ST ANATOMIC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0598T","description":"R-T FLUORESCENCE WOUND IMG 1ST ANATOMIC SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T FLUORESCENCE WOUND IMG EA ADDL ANTMC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0599T","description":"R-T FLUORESCENCE WOUND IMG EA ADDL ANTMC SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T SPCTRL ALYS PRST8 TISS FLUORESCENC SPCTRSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0443T","description":"R-T SPCTRL ALYS PRST8 TISS FLUORESCENC SPCTRSCPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.75,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDCS/EXP TM  and  NO FLUORO IMG N DOC N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDCS/EXP TM  and  NO FLUORO IMG N DOC N RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES/EXP TM  and  NUMB FLUORO IMAGES DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES/EXP TM  and  NUMB FLUORO IMAGES DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIAL KERATOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65771","description":"RADIAL KERATOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5983","description":"RADIATION CARRIER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION CONE LOCATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5985","description":"RADIATION CONE LOCATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION ONCOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4031","description":"RADIATION ONCOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION SHIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5984","description":"RADIATION SHIELD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF MAXILLA OR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7490","description":"RADICAL RESECTION OF MAXILLA OR MANDIBLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOGRAPHIC/SURGICAL IMPLANT INDEX BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6190","description":"RADIOGRAPHIC/SURGICAL IMPLANT INDEX BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9898","description":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0350T","description":"RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOSTEREOMETRIC ANALYSIS SPINE EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0348T","description":"RADIOSTEREOMETRIC ANALYSIS SPINE EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0349T","description":"RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMAN SPECTROSCOPY 1 Plus SKIN LES PROB SCORE MAL RSK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1020T","description":"RAMAN SPECTROSCOPY 1 Plus SKIN LES PROB SCORE MAL RSK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0336U","description":"RARE DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0335U","description":"RARE DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DO ID VARIATIONS OPT GEN MAP and WHL GEN SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0267U","description":"RARE DO ID VARIATIONS OPT GEN MAP and WHL GEN SEQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DO WHL GENOME and  MITOCHDRL DNA SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0265U","description":"RARE DO WHL GENOME and  MITOCHDRL DNA SEQ ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0260U","description":"RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0264U","description":"RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0454U","description":"RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RAPID WHL GEN and MITOCHDRL DNA SEQ SNV SLV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0532U","description":"RARE DS RAPID WHL GEN and MITOCHDRL DNA SEQ SNV SLV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0583U","description":"RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0582U","description":"RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS EA CMPRTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0213U","description":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS EA CMPRTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0212U","description":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS PROBAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GENOM SEQ ALYS CHRMOML ABNR FTL SAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0469U","description":"RARE DS WHL GENOM SEQ ALYS CHRMOML ABNR FTL SAMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GENOME SEQ ALYS SRS and LRS SNVS INDELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0567U","description":"RARE DS WHL GENOME SEQ ALYS SRS and LRS SNVS INDELS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL XOM and MITOCHDRL DNA SEQ ALYS EA CMPRTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0215U","description":"RARE DS WHL XOM and MITOCHDRL DNA SEQ ALYS EA CMPRTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL XOM and MITOCHDRL DNA SEQ ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0214U","description":"RARE DS WHL XOM and MITOCHDRL DNA SEQ ALYS PROBAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC AG FETAL RHD PCR ALYS EXON 4 RHD GENE and GAPDH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0536U","description":"RBC AG FETAL RHD PCR ALYS EXON 4 RHD GENE and GAPDH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC ANTIGEN FTL RHD GENE ALYS NGS CRCG CFDNA BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0494U","description":"RBC ANTIGEN FTL RHD GENE ALYS NGS CRCG CFDNA BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC DNA GNOTYP 10 BLD GRP PHNT PREDICT 37 RBC AG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0084U","description":"RBC DNA GNOTYP 10 BLD GRP PHNT PREDICT 37 RBC AG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC DNA GNOTYP 16 BLD GRP PHNT PREDICT 51 RBC AG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0246U","description":"RBC DNA GNOTYP 16 BLD GRP PHNT PREDICT 51 RBC AG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001U","description":"RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC LEU REDUCED OXYGEN/CO2 REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9027","description":"RBC LEU REDUCED OXYGEN/CO2 REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMD F/U INTERVAL REPEAT CLN 10 YEARS DOC CLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1377","description":"RCMD F/U INTERVAL REPEAT CLN 10 YEARS DOC CLN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1551","description":"RE-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8699","description":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8698","description":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT/RE-BOND BIL SPACE MAINTAINER - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1552","description":"RE-CEMENT/RE-BOND BIL SPACE MAINTAINER - MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT/RE-BOND UNI SPACE MAINTAINR - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1553","description":"RE-CEMENT/RE-BOND UNI SPACE MAINTAINR - PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0171","description":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REACHING/GRABBING DEVICE ANY TYPE ANY LENGTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9281","description":"REACHING/GRABBING DEVICE ANY TYPE ANY LENGTH EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE/CUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2921","description":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE/CUSP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE COMPLETE MANDIBULAR DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5711","description":"REBASE COMPLETE MANDIBULAR DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE COMPLETE MAXILLARY DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5710","description":"REBASE COMPLETE MAXILLARY DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE MANDIBULAR PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5721","description":"REBASE MANDIBULAR PARTIAL DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE MAXILLARY PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5720","description":"REBASE MAXILLARY PARTIAL DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  AND  ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9869","description":"RECEIPT  AND  ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  and  ANALYSIS REMOTE ASYNC IMAGES 20 OR GT  MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9870","description":"RECEIPT  and  ANALYSIS REMOTE ASYNC IMAGES 20 OR GT  MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  and  ANALYSIS REMT ASYNC IMAGES  LT 10 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9868","description":"RECEIPT  and  ANALYSIS REMT ASYNC IMAGES  LT 10 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXTERNAL USE W/ARTIF PANCREAS DEVC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1037","description":"RECEIVER; EXTERNAL USE W/ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1269","description":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT CAST OR PREFABRICATED POST AND CORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2915","description":"RECEMENT CAST OR PREFABRICATED POST AND CORE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2920","description":"RECEMENT CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT FIXED PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6930","description":"RECEMENT FIXED PARTIAL DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6093","description":"RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6092","description":"RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2910","description":"RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR SOLE FOR USE W/ L8720 REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8721","description":"RECEPTOR SOLE FOR USE W/ L8720 REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1630","description":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0288","description":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4563","description":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4932","description":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECV ESRD MCP DIAL SVCS BY PROV DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1491","description":"RECV ESRD MCP DIAL SVCS BY PROV DUR PERF PRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OSSEOUS TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7485","description":"REDUCTION OF OSSEOUS TUBEROSITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0042","description":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGIONAL BLOCK ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9211","description":"REGIONAL BLOCK ANESTHESIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1370","description":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5731","description":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5751","description":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MAXILLARY DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5730","description":"RELINE COMPLETE MAXILLARY DENTURE DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5750","description":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5741","description":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5761","description":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MAXILLARY PARTIAL DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5740","description":"RELINE MAXILLARY PARTIAL DENTURE DIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5760","description":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0416T","description":"RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0862T","description":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0863T","description":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PULSE GENERATOR ONLY ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0681T","description":"RELOCATION PULSE GENERATOR ONLY ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION SKIN POCKET IMPLANTED CCM-D PG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0925T","description":"RELOCATION SKIN POCKET IMPLANTED CCM-D PG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG DEV EVAL SS LD ICDS  LT  90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0579T","description":"REM INTERROG DEV EVAL SS LD ICDS  LT  90D TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG DEV EVAL SS LD ICDS  LT 90D PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0578T","description":"REM INTERROG DEV EVAL SS LD ICDS  LT 90D PHY/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR IMPL IVC SNR INITIAL SET-UP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0982T","description":"REM MNTR IMPL IVC SNR INITIAL SET-UP and PT EDUCAJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR S-SCLP IMPL CONT BI EEG MNTR SYS WO VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1009T","description":"REM MNTR S-SCLP IMPL CONT BI EEG MNTR SYS WO VID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR S-SCLP IMPL CONT BI EEG SYS FITG SET-UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1008T","description":"REM MNTR S-SCLP IMPL CONT BI EEG SYS FITG SET-UP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR XTRNL CONT PULM FLU MNTR SYS ALYS DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0608T","description":"REM MNTR XTRNL CONT PULM FLU MNTR SYS ALYS DATA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR XTRNL CONT PULM FLU MNTR SYS SETUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0607T","description":"REM MNTR XTRNL CONT PULM FLU MNTR SYS SETUP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0812T","description":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0811T","description":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0605T","description":"REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0733T","description":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0734T","description":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM TX AMBLYOPIA DEV SUPPLY 1ST SETUP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0704T","description":"REM TX AMBLYOPIA DEV SUPPLY 1ST SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM TX AMBLYOPIA I and R PHYS/QHP PER CALENDAR MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0706T","description":"REM TX AMBLYOPIA I and R PHYS/QHP PER CALENDAR MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM TX AMBLYOPIA TCH SPRT MIN 18 TRAING HR EA 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0705T","description":"REM TX AMBLYOPIA TCH SPRT MIN 18 TRAING HR EA 30","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9482","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9483","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9484","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9485","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9486","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9487","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9488","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9489","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9481","description":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE INTERROG DEV EVAL  LT 90D CCM SYS PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0948T","description":"REMOTE INTERROG DEV EVAL  LT 90D CCM SYS PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE INTERROG DEV EVAL  LT 90D CCM SYS TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0949T","description":"REMOTE INTERROG DEV EVAL  LT 90D CCM SYS TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE INTERROG DEV EVAL CCM-D SYS  LT 90D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0928T","description":"REMOTE INTERROG DEV EVAL CCM-D SYS  LT 90D PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE INTERROG DEV EVAL CCM-D SYS  LT 90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0929T","description":"REMOTE INTERROG DEV EVAL CCM-D SYS  LT 90D TECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR IMPLANTED IVC SENSOR LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0983T","description":"REMOTE MNTR IMPLANTED IVC SENSOR LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR WIRELESS L ATRIAL PRESSURE SNR LT 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0934T","description":"REMOTE MNTR WIRELESS L ATRIAL PRESSURE SNR LT 30 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93264","description":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE OCT RETINA 1ST DEV SET-UP  and  PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0604T","description":"REMOTE OCT RETINA 1ST DEV SET-UP  and  PT EDUCAJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE OCT RETINA REVIEW I and R PHYS/QHP EA 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0606T","description":"REMOTE OCT RETINA REVIEW I and R PHYS/QHP EA 30 D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5283","description":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8210","description":"REMOVABLE APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8681","description":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5282","description":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL AND REINSERTION OF SINUS TARSI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0511T","description":"REMOVAL AND REINSERTION OF SINUS TARSI IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64658","description":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64659","description":"REMOVAL BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64657","description":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BEN NONODONTOGENIC CYST/TUMOR  GT  1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7461","description":"REMOVAL BEN NONODONTOGENIC CYST/TUMOR  GT  1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7460","description":"REMOVAL BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BEN ODONTOGENIC CYST/TUMR- UP T0 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7450","description":"REMOVAL BEN ODONTOGENIC CYST/TUMR- UP T0 1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BENIGN ODONTOGENIC CYST/TUMOR-  GT  1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7451","description":"REMOVAL BENIGN ODONTOGENIC CYST/TUMOR-  GT  1.25 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0412T","description":"REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0413T","description":"REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL COMPLETE IIMS INCL IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0530T","description":"REMOVAL COMPLETE IIMS INCL IMG S AND I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EPICRANIAL NEUROSTIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0969T","description":"REMOVAL EPICRANIAL NEUROSTIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43285","description":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7530","description":"REMOVAL FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1558","description":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HGN NEUROSTIMULATOR ARRAY  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8009","description":"REMOVAL HGN NEUROSTIMULATOR ARRAY  and  PULSE GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NS ELCTRD ARRAY  and  RCVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8013","description":"REMOVAL HYPOGLOSSAL NERVE NS ELCTRD ARRAY  and  RCVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IIMS ELECTRODE ONLY INCL IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0531T","description":"REMOVAL IIMS ELECTRODE ONLY INCL IMG S AND I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IIMS IMPLANTABLE MNTR ONLY INCL IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0532T","description":"REMOVAL IIMS IMPLANTABLE MNTR ONLY INCL IMG S AND I","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0726T","description":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDIRECT REST ON IMPLANT RETAINED ABUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6196","description":"REMOVAL INDIRECT REST ON IMPLANT RETAINED ABUT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INT NEUROSTIMULATION SYS VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0910T","description":"REMOVAL INT NEUROSTIMULATION SYS VAGUS NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1557","description":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1556","description":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7240","description":"REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7230","description":"REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF IMPACTED TOOTH - SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7220","description":"REMOVAL OF IMPACTED TOOTH - SOFT TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF INDIRECT RESTORATION ON NATURAL TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2956","description":"REMOVAL OF INDIRECT RESTORATION ON NATURAL TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LATERAL EXOSTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7471","description":"REMOVAL OF LATERAL EXOSTOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF RESIDUAL TOOTH ROOTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7250","description":"REMOVAL OF RESIDUAL TOOTH ROOTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF SINUS TARSI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0510T","description":"REMOVAL OF SINUS TARSI IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7473","description":"REMOVAL OF TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7472","description":"REMOVAL OF TORUS PALATINUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0874T","description":"REMOVAL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERM CCM-D SYSTEM PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0919T","description":"REMOVAL PERM CCM-D SYSTEM PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERM PM P GEN REPL PM P GEN D LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7540","description":"REMOVAL PERM PM P GEN REPL PM P GEN D LEAD SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PG WCS LV PACG BATTERY COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518T","description":"REMOVAL PG WCS LV PACG BATTERY COMPONENT ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0861T","description":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PULSE GENERATOR ONLY ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0682T","description":"REMOVAL PULSE GENERATOR ONLY ISDSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61892","description":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL and RPLCMT PG WCS LV PACG BOTH COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519T","description":"REMOVAL and RPLCMT PG WCS LV PACG BOTH COMPONENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE BROKEN IMPLANT RETAINING SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6096","description":"REMOVE BROKEN IMPLANT RETAINING SCREW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8695","description":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0268","description":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7241","description":"REMV IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7540","description":"REMV REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5286","description":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5284","description":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI AC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4436","description":"RENATI AC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4435","description":"RENATI MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENEW FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4378","description":"RENEW FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4321","description":"RENOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2409","description":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8049","description":"REP/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR AND/OR RELINE OF OCCLUSAL GUARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9942","description":"REPAIR AND/OR RELINE OF OCCLUSAL GUARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5511","description":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5512","description":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5621","description":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5622","description":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2402","description":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGN DIAPHRAGMAT HERNIA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2400","description":"REPAIR CONGN DIAPHRAGMAT HERNIA FETUS IN UTERO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2403","description":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8702","description":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MAXLOFACIAL SOFT  and / HARD TISSUE DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7955","description":"REPAIR MAXLOFACIAL SOFT  and / HARD TISSUE DEFECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2404","description":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8701","description":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF IMPLANT/ABUTMENT SUPPORTED PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6090","description":"REPAIR OF IMPLANT/ABUTMENT SUPPORTED PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8697","description":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8696","description":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5630","description":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5611","description":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5612","description":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2401","description":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5336","description":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL OF REPL PART ATT IMPL/ABUT S PROS PER ATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6091","description":"REPL OF REPL PART ATT IMPL/ABUT S PROS PER ATT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE ALL TEETH AND ACRYLIC CAST METAL FRMEWRK MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5670","description":"REPLACE ALL TEETH AND ACRYLIC CAST METAL FRMEWRK MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE ALL TEETH AND ACRYLIC CAST METL FRMEWRK MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5671","description":"REPLACE ALL TEETH AND ACRYLIC CAST METL FRMEWRK MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE BROKEN TEETH PARTIAL DENTURE PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5640","description":"REPLACE BROKEN TEETH PARTIAL DENTURE PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5520","description":"REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACED OR REVISED CIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1455","description":"REPLACED OR REVISED CIED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT INT NEUROSTIMULATION SYS VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0909T","description":"REPLACEMENT INT NEUROSTIMULATION SYS VAGUS NERVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF AN IMPLANT SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6193","description":"REPLACEMENT OF AN IMPLANT SCREW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8704","description":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8703","description":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SCKT/INTERFACE PRTL HND FNGR MOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6031","description":"REPLACEMENT SCKT/INTERFACE PRTL HND FNGR MOLDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SUBCUTANEOUS PERITONEAL ASCITES PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0871T","description":"REPLACEMENT SUBCUTANEOUS PERITONEAL ASCITES PUMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLC OF REPLC PART NAT TOOTH BORNE PROS PER ATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5867","description":"REPLC OF REPLC PART NAT TOOTH BORNE PROS PER ATT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4634","description":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0415T","description":"REPOS CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0574T","description":"REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PREV IMPL CCM-D TRANSVNS ELTRD/LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0924T","description":"REPOSITIONING PREV IMPL CCM-D TRANSVNS ELTRD/LD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR ANT AB HERN REC IMP MESH  LT 3 CM RED REM MSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7565","description":"REPR ANT AB HERN REC IMP MESH  LT 3 CM RED REM MSH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR SACROCOC TERATOMA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2405","description":"REPR SACROCOC TERATOMA FETUS IN UTERO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRDTVE MED ENDOM MICROBIOME ASSMT RTPCR 10BCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0608U","description":"REPRDTVE MED ENDOM MICROBIOME ASSMT RTPCR 10BCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRDTVE MED ENDOM MICROBIOME ASSMT RTPCR 31BCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0607U","description":"REPRDTVE MED ENDOM MICROBIOME ASSMT RTPCR 31BCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRDTVE MED PGA 24CHRMSM DNA TE BX QUALITY CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0554U","description":"REPRDTVE MED PGA 24CHRMSM DNA TE BX QUALITY CTRL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRDTVE MED PGA 24CHRMSM EMBRY TE STRUX REARGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0553U","description":"REPRDTVE MED PGA 24CHRMSM EMBRY TE STRUX REARGMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRDTVE MED PGA 24CHRMSMS EMBRY TE QUALITY CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0555U","description":"REPRDTVE MED PGA 24CHRMSMS EMBRY TE QUALITY CTRL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRDTVE MED PGA ALYS GDO TE BX LNKGE ALYS LOCUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0552U","description":"REPRDTVE MED PGA ALYS GDO TE BX LNKGE ALYS LOCUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PROSTHESIS MANDIBULAR CMPLT REMOVABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5939","description":"RESECTION PROSTHESIS MANDIBULAR CMPLT REMOVABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PROSTHESIS MANDIBULAR PRTL REMOVABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5941","description":"RESECTION PROSTHESIS MANDIBULAR PRTL REMOVABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PROSTHESIS MAXILLARY CMPLT REMOVABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5938","description":"RESECTION PROSTHESIS MAXILLARY CMPLT REMOVABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PROSTHESIS MAXILLARY PARTIAL REMOVABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5940","description":"RESECTION PROSTHESIS MAXILLARY PARTIAL REMOVABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2394","description":"RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2990","description":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2391","description":"RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2393","description":"RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2392","description":"RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE CROWN ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2390","description":"RESIN-BASED COMPOSITE CROWN ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE ONE SURFACE ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2330","description":"RESIN-BASED COMPOSITE ONE SURFACE ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE THREE SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2332","description":"RESIN-BASED COMPOSITE THREE SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE TWO SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2331","description":"RESIN-BASED COMPOSITE TWO SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE-4 OR GT  SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2335","description":"RESIN-BASED COMPOSITE-4 OR GT  SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0501","description":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIR IADNA 18 VIRAL TYPE AND SUBTYPE  AND  2 BACT TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0115U","description":"RESPIR IADNA 18 VIRAL TYPE AND SUBTYPE  AND  2 BACT TRGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1310.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1310.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2949","description":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4192","description":"RESTORIGIN 1 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRAINT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0710","description":"RESTRAINT ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRATA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2007","description":"RESTRATA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER - CAST METAL RESIN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6545","description":"RETAINER - CAST METAL RESIN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6549","description":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER - PORCELN/CERAMIC RSN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6548","description":"RETAINER - PORCELN/CERAMIC RSN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - 3/4 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6780","description":"RETAINER CROWN - 3/4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - 3/4 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6782","description":"RETAINER CROWN - 3/4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - 3/4 PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6783","description":"RETAINER CROWN - 3/4 PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6790","description":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - FULL CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6792","description":"RETAINER CROWN - FULL CAST NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6710","description":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6750","description":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6752","description":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6740","description":"RETAINER CROWN - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - PORCELN FUSED TIT  AND  TIT ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6753","description":"RETAINER CROWN - PORCELN FUSED TIT  AND  TIT ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6720","description":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6722","description":"RETAINER CROWN - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6794","description":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN 3/4 - TITANIUM  and  TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6784","description":"RETAINER CROWN 3/4 - TITANIUM  and  TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN-3/4 CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6781","description":"RETAINER CROWN-3/4 CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6791","description":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6751","description":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN-RESIN W/PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6721","description":"RETAINER CROWN-RESIN W/PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY - CAST NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6607","description":"RETAINER INLAY - CAST NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6606","description":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6604","description":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY - PORCELAIN/CERAMIC 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6601","description":"RETAINER INLAY - PORCELAIN/CERAMIC 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY - PORCELAIN/CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6600","description":"RETAINER INLAY - PORCELAIN/CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY - TITANIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6624","description":"RETAINER INLAY - TITANIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6602","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY-CAST HIGH NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6603","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER INLAY-CAST PDMT BASE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6605","description":"RETAINER INLAY-CAST PDMT BASE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6614","description":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY - PORCELAIN/CERAMIC 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6609","description":"RETAINER ONLAY - PORCELAIN/CERAMIC 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY - PORCELAIN/CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6608","description":"RETAINER ONLAY - PORCELAIN/CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY - TITANIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6634","description":"RETAINER ONLAY - TITANIUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6610","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6611","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY-CAST NOBLE METAL 3/MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6615","description":"RETAINER ONLAY-CAST NOBLE METAL 3/MORE SURFACES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER ONLAY-CAST PDMT BASE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6613","description":"RETAINER ONLAY-CAST PDMT BASE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETINAL EX W/O EVID RET BOTH EYES W/SEV LVL DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1430","description":"RETINAL EX W/O EVID RET BOTH EYES W/SEV LVL DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETINAL EXAM W/EVID RET OS OD/OU SEV LVL DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1429","description":"RETINAL EXAM W/EVID RET OS OD/OU SEV LVL DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3347","description":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT PREVIOUS RC THERAPY - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3346","description":"RETREATMENT PREVIOUS RC THERAPY - ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3348","description":"RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETRIEVAL DEVICE INSERTABLE LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1603","description":"RETRIEVAL DEVICE INSERTABLE LASER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROGRADE FILLING - PER ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3430","description":"RETROGRADE FILLING - PER ROOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAC LE AA; IV LITHOTRIPSY  and  ATHERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9766","description":"REV EVAC LE AA; IV LITHOTRIPSY  and  ATHERECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAR LE AA; IV LITHO and TL STNT PLCMT and ATHERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9767","description":"REV EVAR LE AA; IV LITHO and TL STNT PLCMT and ATHERECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAR LE AA;IV LITHOTRIPSY  and  TL STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9765","description":"REV EVAR LE AA;IV LITHOTRIPSY  and  TL STENT PLCMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAR OPN/PERQ LE AA; NO TIB/PR;IV LITHOTRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9764","description":"REV EVAR OPN/PERQ LE AA; NO TIB/PR;IV LITHOTRIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVASC EVAR FMRL PA UNI WITH TL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7535","description":"REVASC EVAR FMRL PA UNI WITH TL STENT PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVASC EVR FMRL PA UNI TRANSLUMINAL ANGIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7531","description":"REVASC EVR FMRL PA UNI TRANSLUMINAL ANGIOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVASCULARIZATION EVAR FMRL PA UNILATERAL ATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7534","description":"REVASCULARIZATION EVAR FMRL PA UNILATERAL ATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7677","description":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7677","description":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64598","description":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLACEMENT HGN NEUROSTIMULATOR ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8008","description":"REVISION/REPLACEMENT HGN NEUROSTIMULATOR ARRAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLACEMENT HGN NS ELCTRD ARRAY  and  RCVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8012","description":"REVISION/REPLACEMENT HGN NS ELCTRD ARRAY  and  RCVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64655","description":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64656","description":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITALON PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4157","description":"REVITALON PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVAL AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4437","description":"REVIVAL AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4424","description":"REVIVE FT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4425","description":"REVIVE TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22838","description":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL TLMBR/LMBR VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0790T","description":"REVJ RPLCMT/RMVL TLMBR/LMBR VRT BODY TETHERING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ SUB-SCALP IMPL ELTRD RA RCVR and TLMTR F/ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0957T","description":"REVJ SUB-SCALP IMPL ELTRD RA RCVR and TLMTR F/ELTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0873T","description":"REVJ SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0098T","description":"REVJ TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0165T","description":"REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22862","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/ OR RMVL PERQ ISDNS BLDR DYSF PTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0588T","description":"REVJ/ OR RMVL PERQ ISDNS BLDR DYSF PTN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0818T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0819T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBQ and SUBF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0989T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBQ and SUBF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL LOWER ESOPHAGEAL SPHNCTR NSTIM PG/RCVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1015T","description":"REVJ/RMVL LOWER ESOPHAGEAL SPHNCTR NSTIM PG/RCVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NSTIM ELTRD RA SAC W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0787T","description":"REVJ/RMVL NSTIM ELTRD RA SAC W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NSTIM ELTRD RA SPI W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0785T","description":"REVJ/RMVL NSTIM ELTRD RA SPI W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61891","description":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8684","description":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RF TRNSMT USE W/IMPLANTABLE NEUROSTIM RF RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8683","description":"RF TRNSMT USE W/IMPLANTABLE NEUROSTIM RF RECV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHD and RHCE GNOTYP NEXT-GNRJ SEQ RH PROX PROMOTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0222U","description":"RHD and RHCE GNOTYP NEXT-GNRJ SEQ RH PROX PROMOTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHD and RHCE GNOTYP SANGER/CHAIN SEQ RHD 1-10 and RHCE 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0198U","description":"RHD and RHCE GNOTYP SANGER/CHAIN SEQ RHD 1-10 and RHCE 5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR IGA and IGM CCP ANTB SR-A IA BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521U","description":"RHEUMATOID FACTOR IGA and IGM CCP ANTB SR-A IA BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86430","description":"RHEUMATOID FACTOR QUALITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86430","description":"RHEUMATOID FACTOR QUALITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4032","description":"RHEUMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90386","description":"RHO(D) IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY GLABELLAR FROWN LINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15826","description":"RHYTIDECTOMY GLABELLAR FROWN LINES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15825","description":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.6,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC  Equal to 0 /  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC  Equal to 0 /  GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE  Equal to 0 /  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE  Equal to 0 /  GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  Equal to 0 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  Equal to 0 OR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE  Equal to 0/  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE  Equal to 0/  GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC  LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC  LT 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.84,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0414T","description":"RMVL  AND  RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INFLATABLE PENILE PROSTH SAME SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54410","description":"RMVL  AND  RPLCMT INFLATABLE PENILE PROSTH SAME SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54411","description":"RMVL  AND  RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0447T","description":"RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0448T","description":"RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERM CCM-D SYS 1 TRANSVNS DFB LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0921T","description":"RMVL PERM CCM-D SYS 1 TRANSVNS DFB LEAD ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERM CCM-D SYS 1 TRANSVNS PACING LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0920T","description":"RMVL PERM CCM-D SYS 1 TRANSVNS PACING LEAD ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0922T","description":"RMVL PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUB-SCALP IMPL ELTRD RA RCVR and TLMTR CEEG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0958T","description":"RMVL SUB-SCALP IMPL ELTRD RA RCVR and TLMTR CEEG SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0573T","description":"RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0580T","description":"RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0095T","description":"RMVL TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0164T","description":"RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0727T","description":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PERMANENT CCM-D PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0923T","description":"RMVL and RPLCMT PERMANENT CCM-D PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520T","description":"RMVL and RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0614T","description":"RMVL and RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPLCMT MAGNET COIL ASSEM CONN CEEG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0959T","description":"RMVL/RPLCMT MAGNET COIL ASSEM CONN CEEG SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RN SERVICES UP TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1002","description":"RN SERVICES UP TO 15 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8670","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8670","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROOT AMPUTATION - PER ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3450","description":"ROOT AMPUTATION - PER ROOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY PERISTALTIC INF PUMP REUS NOP MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9816","description":"ROTARY PERISTALTIC INF PUMP REUS NOP MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY PERISTALTIC INFUS PUMP NONOPIOID MED DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9806","description":"ROTARY PERISTALTIC INFUS PUMP NONOPIOID MED DVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0247","description":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE FOOT CARE; PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0390","description":"ROUTINE FOOT CARE; PER VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT INDWELLING BLADDER  and  PERITONEAL CATHETERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0872T","description":"RPLCMT INDWELLING BLADDER  and  PERITONEAL CATHETERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT SUB-SCALP IMPL ELTRD RA RCVR and TLMTR CEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0960T","description":"RPLCMT SUB-SCALP IMPL ELTRD RA RCVR and TLMTR CEEG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68340","description":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68340","description":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPONENT INFLATABLE PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54408","description":"RPR COMPONENT INFLATABLE PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65273","description":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65273","description":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65272","description":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65272","description":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30468","description":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.822,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8648","description":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8647","description":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90380","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90683","description":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90683","description":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MAND IMPL/ABUT SPT REM PROS EDENT ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5943","description":"RSXN PROS MAND IMPL/ABUT SPT REM PROS EDENT ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MAND IMPL/ABUT SPTD FX PROS EDENT ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5947","description":"RSXN PROS MAND IMPL/ABUT SPTD FX PROS EDENT ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MAX IMPL/ABUT SPT FX PROS PRTL EDNT AR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5948","description":"RSXN PROS MAX IMPL/ABUT SPT FX PROS PRTL EDNT AR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MAX IMPL/ABUT SPT REM PROS EDENT ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5942","description":"RSXN PROS MAX IMPL/ABUT SPT REM PROS EDENT ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MAX IMPL/ABUT SPT REM PROS PAR EDNT AR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5944","description":"RSXN PROS MAX IMPL/ABUT SPT REM PROS PAR EDNT AR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MAX IMPL/ABUT SPTD FX PROS EDENT ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5946","description":"RSXN PROS MAX IMPL/ABUT SPTD FX PROS EDENT ARCH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MD IMPL/ABUT SPT FX PROS PRTL EDENT AR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5949","description":"RSXN PROS MD IMPL/ABUT SPT FX PROS PRTL EDENT AR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSXN PROS MD IMPL/ABUT SPTD REM PROS PAR EDNT AR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5945","description":"RSXN PROS MD IMPL/ABUT SPTD REM PROS PAR EDNT AR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA CBT 2-15 DAYS IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98986","description":"RTM DEV SPLY DATA CBT 2-15 DAYS IN 30 D PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98977","description":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98985","description":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98976","description":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98984","description":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98979","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98980","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98981","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90680","description":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1610","description":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPEN/PC TIBIAL/PA;IVASC LITH  and  TL SP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9773","description":"RVSC EVAR OPEN/PC TIBIAL/PA;IVASC LITH  and  TL SP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/P TIB/PA;IVASC LITH and TL STNT PL and ATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9775","description":"RVSC EVAR OPN/P TIB/PA;IVASC LITH and TL STNT PL and ATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/PERC TIB/PER ART IVASC LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9772","description":"RVSC EVAR OPN/PERC TIB/PER ART IVASC LITHOTRIPSY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/PERQ TIB/PER ART;IVASC LITH and ATHREC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9774","description":"RVSC EVAR OPN/PERQ TIB/PER ART;IVASC LITH and ATHREC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX AND FITG CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX ASSAY PRSMV 30 Plus RX/METABLT UR LC-MS/MS MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0227U","description":"RX ASSAY PRSMV 30 Plus RX/METABLT UR LC-MS/MS MRM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN  AND  RSPSE TRGT SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0029U","description":"RX METAB ADVRS RX RXN  AND  RSPSE TRGT SEQ ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE GNOTYP 16 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0533U","description":"RX METAB ADVRS RX RXN and RSPSE GNOTYP 16 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE VARIANT ALYS 25 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0434U","description":"RX METAB ADVRS RX RXN and RSPSE VARIANT ALYS 25 GEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0438U","description":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB PSY GNOTYP 14GEN and CYP2D6 IMPCT GEN-RX IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0477U","description":"RX METAB PSY GNOTYP 14GEN and CYP2D6 IMPCT GEN-RX IA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB PSYC RX-GENOMIC GNOTYP 14GEN and CYP2D6 CNV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0476U","description":"RX METAB PSYC RX-GENOMIC GNOTYP 14GEN and CYP2D6 CNV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB WARFARIN RX RESPONSE TRGT SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0030U","description":"RX METAB WARFARIN RX RESPONSE TRGT SEQ ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB WHL BLD RXGENOMIC GNOTYP 40GENES and CYP2D6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516U","description":"RX METAB WHL BLD RXGENOMIC GNOTYP 40GENES and CYP2D6","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB/PCX DNA 16 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0347U","description":"RX METAB/PCX DNA 16 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB/PCX DNA 25 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0348U","description":"RX METAB/PCX DNA 25 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB/PCX DNA 27 GEN VRNT ALYS and PHNT GEN-RX IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0349U","description":"RX METAB/PCX DNA 27 GEN VRNT ALYS and PHNT GEN-RX IA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB/PCX DNA 27 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0350U","description":"RX METAB/PCX DNA 27 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX MNTR 1 Plus ORAL ONC RX and SBSTS SRM/PLSM CAP/VEN BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0110U","description":"RX MNTR 1 Plus ORAL ONC RX and SBSTS SRM/PLSM CAP/VEN BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX MNTR 14 PLUS  CLASS DRUGS  AND  SBSTS CAPILLARY BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0054U","description":"RX MNTR 14 PLUS  CLASS DRUGS  AND  SBSTS CAPILLARY BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX MNTR 65 COM DRUGS LC-MS/MS UR DETC/NOT DETC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0093U","description":"RX MNTR 65 COM DRUGS LC-MS/MS UR DETC/NOT DETC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0011U","description":"RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX MNTR DRUGS PRESENT LC-MS/MS UR/BLD 31 RX PNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0051U","description":"RX MNTR DRUGS PRESENT LC-MS/MS UR/BLD 31 RX PNL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX MNTR NZM IA 35 Plus DRUGS LC-MS/MS ORAL FLUID ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0116U","description":"RX MNTR NZM IA 35 Plus DRUGS LC-MS/MS ORAL FLUID ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0007U","description":"RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX TST DEF 90 Plus  RX/SBSTS UR REPRT PRES/ABS EA RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0082U","description":"RX TST DEF 90 Plus  RX/SBSTS UR REPRT PRES/ABS EA RX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACRAL NERVE STIMULATION TEST LEAD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4290","description":"SACRAL NERVE STIMULATION TEST LEAD EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV  AND  IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV  AND  IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV  AND  IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV  AND  IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9926","description":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9926","description":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9923","description":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9923","description":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9925","description":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9925","description":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EYEGLASS FRAMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0516","description":"SAFETY EYEGLASS FRAMES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY PLAN IVR EA 20 MIN PERF BILL PRACTIONER:","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0560","description":"SAFETY PLAN IVR EA 20 MIN PERF BILL PRACTIONER:","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALES TAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9985","description":"SALES TAX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3650","description":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3652","description":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4319","description":"SANOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91304","description":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91304","description":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91321","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91321","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBMCSL CRYOLYSIS THER BASE TONGUE and LINGUAL TONSIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0980T","description":"SBMCSL CRYOLYSIS THER BASE TONGUE and LINGUAL TONSIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBMCSL CRYOLYSIS THER SOFT PALT BASE TONGUE and TNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0978T","description":"SBMCSL CRYOLYSIS THER SOFT PALT BASE TONGUE and TNSL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBMCSL CRYOLYSIS THERAPY SOFT PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0979T","description":"SBMCSL CRYOLYSIS THERAPY SOFT PALATE ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBRT TX DEL POSITRON EMISSION-BASED DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0563","description":"SBRT TX DEL POSITRON EMISSION-BASED DELIVERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PLMT DRUG ELUTING OCULAR INSERT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0445T","description":"SBSQ PLMT DRUG ELUTING OCULAR INSERT UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC GNOTYP GENE ANALYSIS ERMAP EXONS 4 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0199U","description":"SC GNOTYP GENE ANALYSIS ERMAP EXONS 4 12","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD CARBAPENEM RESIST GEN AMP PRB TQ PER ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87183","description":"SC STD CARBAPENEM RESIST GEN AMP PRB TQ PER ISOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD CARBAPENEMASE NZM DETCJ MULT IA QUAL ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87182","description":"SC STD CARBAPENEMASE NZM DETCJ MULT IA QUAL ISOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC and DEB 1 IMPL PRES MUCOSITIS; NO FLAP ENTRY and CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6081","description":"SC and DEB 1 IMPL PRES MUCOSITIS; NO FLAP ENTRY and CLS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAFFOLD EVAR NONCOR RESORBABLE RX ELUT DEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1743","description":"SCAFFOLD EVAR NONCOR RESORBABLE RX ELUT DEL SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAL  and  DEB SGL IMPL IN PRES PERI-IMPLANTITIS INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6049","description":"SCAL  and  DEB SGL IMPL IN PRES PERI-IMPLANTITIS INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1639","description":"SCALE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCALING PRESENCE GEN MOD/SEV GINGIVAL INFLAMM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4346","description":"SCALING PRESENCE GEN MOD/SEV GINGIVAL INFLAMM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0175","description":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8080","description":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0515","description":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CTRL CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1007","description":"SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CTRL CUSTOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0289","description":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG MNL SCR and RSCR UND PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0143","description":"SCR CYTOPATH CERV/VAG MNL SCR and RSCR UND PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG SCR AUTO and MNL RSCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0145","description":"SCR CYTOPATH CERV/VAG SCR AUTO and MNL RSCR PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0123","description":"SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0124","description":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0144","description":"SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0141","description":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL RESCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0148","description":"SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL RESCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0147","description":"SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1285","description":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1302","description":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9899","description":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9899","description":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCRATCH RESISTANT COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2760","description":"SCRATCH RESISTANT COATING PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PAP SMEAR; OBTAIN PREP  AND C ONVEY TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0091","description":"SCREEN PAP SMEAR; OBTAIN PREP  AND C ONVEY TO LAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR SLEEP RELATED BREATHING DISORDERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9957","description":"SCREENING FOR SLEEP RELATED BREATHING DISORDERS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING OF A PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0190","description":"SCREENING OF A PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERF  AND  POS  AND  PROVISION RECOMMENDATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9919","description":"SCREENING PERF  AND  POS  AND  PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERF  AND  POS  AND  PROVISION RECOMMENDATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9919","description":"SCREENING PERF  AND  POS  AND  PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERFORMED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9920","description":"SCREENING PERFORMED AND NEGATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERFORMED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9920","description":"SCREENING PERFORMED AND NEGATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PROCTOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0601","description":"SCREENING PROCTOSCOPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEALANT - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1351","description":"SEALANT - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEALANT REPAIR - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1353","description":"SEALANT REPAIR - PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0172","description":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECT PICTURE AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92583","description":"SELECT PICTURE AUDIOMETRY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6454","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6454","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6453","description":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6453","description":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99474","description":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99473","description":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ALYS MOTILITY and CNT X W/HUHNER TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89310","description":"SEMEN ALYS MOTILITY and CNT X W/HUHNER TST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ALYS PRESENCE and /MOTILITY SPRM HUHNER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89300","description":"SEMEN ALYS PRESENCE and /MOTILITY SPRM HUHNER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALY; PRES/MOT EXCLD HUHNER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0027","description":"SEMEN ANALY; PRES/MOT EXCLD HUHNER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89322","description":"SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89320","description":"SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5095","description":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-PRECISION ABUTMENT - PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6191","description":"SEMI-PRECISION ABUTMENT - PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-PRECISION ATTACHMENT - PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6192","description":"SEMI-PRECISION ATTACHMENT - PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1035","description":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.94,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81327","description":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81332","description":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4771","description":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE DX EVAL/TX MH/SUD 15-29 MIN PROV REMOTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7900","description":"SERVICE DX EVAL/TX MH/SUD 15-29 MIN PROV REMOTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE DX EVAL/TX MH/SUD 30-60 MIN PROV REMOTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7901","description":"SERVICE DX EVAL/TX MH/SUD 30-60 MIN PROV REMOTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0152","description":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0158","description":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0151","description":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0161","description":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9901","description":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2020","description":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0160","description":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9990","description":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9991","description":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED IN AN URGENT CARE CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9088","description":"SERVICES PROVIDED IN AN URGENT CARE CENTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0157","description":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0159","description":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.344,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX 1ST TNDSC DILAT RX BALO CATH STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0886T","description":"SGMDSC FLX 1ST TNDSC DILAT RX BALO CATH STRIX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTWAVE IFR RADIATION IMG SURG PATH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0961T","description":"SHORTWAVE IFR RADIATION IMG SURG PATH SPECIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE  EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4740","description":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE  EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALODOCHOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7982","description":"SIALODOCHOPLASTY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0371","description":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0310","description":"SIALOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SICKLE CELL DISEASE P-SELECTIN WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0122U","description":"SICKLE CELL DISEASE P-SELECTIN WHOLE BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SICKLE CELL DISEASE VCAM-1 WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0121U","description":"SICKLE CELL DISEASE VCAM-1 WHOLE BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIG OCULAR COND IMPACT THE VIS OUTCOME OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1439","description":"SIG OCULAR COND IMPACT THE VIS OUTCOME OF SURG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45350","description":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1013","description":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SILDENAFIL CITRATE 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0090","description":"SILDENAFIL CITRATE 25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLICHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4414","description":"SIMPLICHOR PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMULATION ANGIOGRAM USE OF PRESSURE GEN CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8004","description":"SIMULATION ANGIOGRAM USE OF PRESSURE GEN CATH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2065","description":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2610","description":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE PROSTHETIC DIGIT MECH INITIAL ISSUE/REPLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6035","description":"SINGLE PROSTHETIC DIGIT MECH INITIAL ISSUE/REPLC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0504","description":"SINGLE VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VIT/MINERAL/TRACE ELEMENT ORAL-DOSE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9152","description":"SINGLE VIT/MINERAL/TRACE ELEMENT ORAL-DOSE NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION BONE/BONE SUBST LAT OPEN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7951","description":"SINUS AUGMENTATION BONE/BONE SUBST LAT OPEN APPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION VIA A VERTICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7952","description":"SINUS AUGMENTATION VIA A VERTICAL APPROACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.27,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKD SRVC LPN TRAIN and /EDU PT/FAM HH/HOSPC E 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0496","description":"SKD SRVC LPN TRAIN and /EDU PT/FAM HH/HOSPC E 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKD SRVC RN TRAIN and /EDU PT/FAM HH/HOSPC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0495","description":"SKD SRVC RN TRAIN and /EDU PT/FAM HH/HOSPC EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4033","description":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0162","description":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SERVICES RN OBV  AND  ASMT PT COND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0493","description":"SKILLED SERVICES RN OBV  AND  ASMT PT COND EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SRVC LPN OBS  AND  ASMT PT COND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0494","description":"SKILLED SRVC LPN OBS  AND  ASMT PT COND EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER WIPES OR SWABS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5120","description":"SKIN BARRIER WIPES OR SWABS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER WIPES OR SWABS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5120","description":"SKIN BARRIER WIPES OR SWABS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7920","description":"SKIN GRAFT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6250","description":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9363","description":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCO1B1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81328","description":"SLCO1B1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV NZMTC DBRDMT BRN ESCHAR ANES S/N/HF and /MD 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0975T","description":"SLCTV NZMTC DBRDMT BRN ESCHAR ANES S/N/HF and /MD 1","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV NZMTC DBRDMT BRN ESCHAR ANES S/N/HF and /MD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0976T","description":"SLCTV NZMTC DBRDMT BRN ESCHAR ANES S/N/HF and /MD EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV NZMTC DBRDMT BRN ESCHAR REQ ANES T/A/L 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0973T","description":"SLCTV NZMTC DBRDMT BRN ESCHAR REQ ANES T/A/L 1ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV NZMTC DBRDMT BRN ESCHAR REQ ANES T/A/L EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0974T","description":"SLCTV NZMTC DBRDMT BRN ESCHAR REQ ANES T/A/L EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4600","description":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 and SMN2 FUL GEN ALYS CHNG DUPL and DELET and INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0236U","description":"SMN1 and SMN2 FUL GEN ALYS CHNG DUPL and DELET and INSJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1031F","description":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1031F","description":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION GUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4995","description":"SMOKING CESSATION GUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPD1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81330","description":"SMPD1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87205","description":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87205","description":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOCIAL WORK VISIT IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9127","description":"SOCIAL WORK VISIT IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOCL WRK  AND  PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0409","description":"SOCL WRK  AND  PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9580","description":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN; TRANSPLANTATION  AND  RELATED COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2152","description":"SOLID ORGAN; TRANSPLANTATION  AND  RELATED COMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1636","description":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2001","description":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP RSLT DEMST FEV1/FVC  LT 70 PCT  FEV  LT 60 PCT  P  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SP RSLT DEMST FEV1/FVC  LT 70 PCT  FEV  LT 60 PCT  P  and","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1526","description":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1517","description":"SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1516","description":"SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1510","description":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1527","description":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1520","description":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAINS FOR MICROORGANISMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0476","description":"SPECIAL STAINS FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAINS NOT FOR MICROORGANISMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0477","description":"SPECIAL STAINS NOT FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2299","description":"SPECIALTY BIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2399","description":"SPECIALTY TRIFOCAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5953","description":"SPEECH AID PROSTHESIS ADULT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS MODIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5960","description":"SPEECH AID PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5952","description":"SPEECH AID PROSTHESIS PEDIATRIC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0211T","description":"SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0210T","description":"SPEECH AUDIOMETRY THRESHOLD AUTOMATED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2511","description":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4034","description":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5362","description":"SPEECH SCREENING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9128","description":"SPEECH THERAPY IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3000","description":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89325","description":"SPERM ANTIBODIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVALUATION CERVICAL MUCOUS PENETRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89330","description":"SPERM EVALUATION CERVICAL MUCOUS PENETRATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVALUATION HAMSTER PENETRATION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89329","description":"SPERM EVALUATION HAMSTER PENETRATION TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVALUATION RETROGRADE EJACULATION URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89331","description":"SPERM EVALUATION RETROGRADE EJACULATION URINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM PROCUREMENT AND CRYOPRES SERVICES; INIT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4030","description":"SPERM PROCUREMENT AND CRYOPRES SERVICES; INIT VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM PROCUREMENT AND CRYOPRES SRVC; SUBSQT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4031","description":"SPERM PROCUREMENT AND CRYOPRES SRVC; SUBSQT VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM WASHING ARTIFICIAL INSEMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58323","description":"SPERM WASHING ARTIFICIAL INSEMINATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0487","description":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9284","description":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1214","description":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8450","description":"SPLINT PREFABRICATED DIGIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8452","description":"SPLINT PREFABRICATED ELBOW","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED WRIST OR ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8451","description":"SPLINT PREFABRICATED WRIST OR ANKLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1  PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1  PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1  PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1  PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ID FROM ASPIR OTH/THN SEMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89257","description":"SPRM ID FROM ASPIR OTH/THN SEMINAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89264","description":"SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89261","description":"SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89260","description":"SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1195","description":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC DX EVAL/TX MH/SUD EA 15 MIN PRVD REM HS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7902","description":"SRVC DX EVAL/TX MH/SUD EA 15 MIN PRVD REM HS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0156","description":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9900","description":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9989","description":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0153","description":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGES I-III BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1394","description":"STAGES I-III BREAST CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGES I-III BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1401","description":"STAGES I-III BREAST CANCER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0642","description":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0641","description":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0425","description":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0440","description":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1130","description":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4216","description":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4216","description":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"STERILE SALINE/WATER METERED DOSE DISPNS 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4218","description":"STERILE SALINE/WATER METERED DOSE DISPNS 10 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"STIM INTRAUTERINE INSEMINATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4035","description":"STIM INTRAUTERINE INSEMINATION CASE RATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"STOMACH TUBE - LEVINE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4083","description":"STOMACH TUBE - LEVINE TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"STOMACH TUBE - LEVINE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4083","description":"STOMACH TUBE - LEVINE TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4027","description":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YEAR EMBRYO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89342","description":"STORAGE PER YEAR EMBRYO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YEAR OOCYTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89346","description":"STORAGE PER YEAR OOCYTE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YEAR SPERM/SEMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89343","description":"STORAGE PER YEAR SPERM/SEMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89344","description":"STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRATTICE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4130","description":"STRATTICE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRESS BREAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6940","description":"STRESS BREAKER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9454","description":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9600","description":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9600","description":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBS EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1128F","description":"SUBS EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBS EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1128F","description":"SUBS EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PSYCHIATRIC COLLAB CARE MGMT SUBS MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0569","description":"SUBSEQUENT PSYCHIATRIC COLLAB CARE MGMT SUBS MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1360","description":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1352","description":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1355","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1361","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4397","description":"SUMMIT AAA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4398","description":"SUMMIT AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT FX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4399","description":"SUMMIT FX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUNGLASSES FRAMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0518","description":"SUNGLASSES FRAMES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP TC ELEC NERVE STIM FOR NRV AUR REG PER MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4543","description":"SUP TC ELEC NERVE STIM FOR NRV AUR REG PER MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7021","description":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPP DEV EXTRAVASCULAR FOR ARTERIOVENOUS FIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8000","description":"SUPP DEV EXTRAVASCULAR FOR ARTERIOVENOUS FIST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESS FOR EXT UPPER LIMB TREMOR STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4542","description":"SUPPLIES  and  ACCESS FOR EXT UPPER LIMB TREMOR STIM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESSORIES FOR EXT TENS NEEDED 1 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4545","description":"SUPPLIES  and  ACCESSORIES FOR EXT TENS NEEDED 1 MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLY DGTL MENTAL HEALTH TX DVC PER CRS OF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0552","description":"SUPPLY DGTL MENTAL HEALTH TX DVC PER CRS OF TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2051","description":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; PD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRA SDRM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2011","description":"SUPRA SDRM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67516","description":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRATHEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2012","description":"SUPRATHEL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT IMG GDN US F/PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77439","description":"SURF RADJ THER SUPFC/ORTHVLT IMG GDN US F/PLMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE ELECTROMYOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3900","description":"SURFACE ELECTROMYOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACTOR OR NUDYN PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4233","description":"SURFACTOR OR NUDYN PER 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG EXP OF RS W/O APICOECTOMY/REPR RR - ANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3501","description":"SURG EXP OF RS W/O APICOECTOMY/REPR RR - ANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG EXP RS NO APICOECT/REPR RT RESORPTN - MOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3503","description":"SURG EXP RS NO APICOECT/REPR RT RESORPTN - MOLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG EXP RS W/O APICOECTOMY/REPR OF RR - PM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3502","description":"SURG EXP RS W/O APICOECTOMY/REPR OF RR - PM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69706","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1193","description":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6010","description":"SURG PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6012","description":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ACCESS TO AN IMPLANT BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6011","description":"SURGICAL ACCESS TO AN IMPLANT BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3209","description":"SURGICAL BOOT EACH CHILD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3208","description":"SURGICAL BOOT EACH INFANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH JUNIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3211","description":"SURGICAL BOOT EACH JUNIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1425","description":"SURGICAL CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DISCECTOMY; WITH/WITHOUT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7850","description":"SURGICAL DISCECTOMY; WITH/WITHOUT IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL MASK PER 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4928","description":"SURGICAL MASK PER 20","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0416","description":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PLACEMENT OF MINI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6013","description":"SURGICAL PLACEMENT OF MINI IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PLACEMENT:  EPOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6040","description":"SURGICAL PLACEMENT:  EPOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6050","description":"SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURE ISOLATION TOOTH W/RUBBER DAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3910","description":"SURGICAL PROCEDURE ISOLATION TOOTH W/RUBBER DAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REDUCTION OF FIBROUS TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7972","description":"SURGICAL REDUCTION OF FIBROUS TUBEROSITY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REMOVAL OF IMPLANT BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6100","description":"SURGICAL REMOVAL OF IMPLANT BODY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3471","description":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3473","description":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3472","description":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPOSITIONING OF TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7290","description":"SURGICAL REPOSITIONING OF TEETH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REVISION PROCEDURE PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4268","description":"SURGICAL REVISION PROCEDURE PER TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7980","description":"SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5988","description":"SURGICAL SPLINT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STENT FOR SOFT TISSUE HEALING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5982","description":"SURGICAL STENT FOR SOFT TISSUE HEALING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4649","description":"SURGICAL SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4393","description":"SURGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4394","description":"SURGRAFT ACA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7910","description":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"SWIVEL ADAPTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8186","description":"SWIVEL ADAPTOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1500F","description":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHONY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2009","description":"SYMPHONY PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7854","description":"SYNOVECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7995","description":"SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0065U","description":"SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAL RPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAN RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0210U","description":"SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAN RPR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE STERILE 20 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4213","description":"SYRINGE STERILE 20 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE STERILE 20 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4213","description":"SYRINGE STERILE 20 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4206","description":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4206","description":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4207","description":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4207","description":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4208","description":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4208","description":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4209","description":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4209","description":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH OR WITHOUT NEEDLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4657","description":"SYRINGE WITH OR WITHOUT NEEDLE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH OR WITHOUT NEEDLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4657","description":"SYRINGE WITH OR WITHOUT NEEDLE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9959","description":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9959","description":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9961","description":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9961","description":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.9,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1629","description":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACRINE HYDROCHLORIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0014","description":"TACRINE HYDROCHLORIDE 10 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0422T","description":"TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAKE-HOME SPLY NASAL NALMEFENE HCL;NASAL SPRAYS;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0532","description":"TAKE-HOME SPLY NASAL NALMEFENE HCL;NASAL SPRAYS;","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAPE ALL TYPES ALL SIZES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4454","description":"TAPE ALL TYPES ALL SIZES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4452","description":"TAPE WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TAPE WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4452","description":"TAPE WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TARGETED GENOMIC SEQUENCE ALYS PNL DNA 23 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0171U","description":"TARGETED GENOMIC SEQUENCE ALYS PNL DNA 23 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAU PHOSPHORYLATED PTAU217","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0479U","description":"TAU PHOSPHORYLATED PTAU217","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1003","description":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1003","description":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCRNG DONE INTRPD  LT 6 MOS START RA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCRNG DONE INTRPD  LT 6 MOS START RA THXPY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBA OPEN/PERC INITIAL ARTERY  and  ALL ADD ARTERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7563","description":"TBA OPEN/PERC INITIAL ARTERY  and  ALL ADD ARTERIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0044U","description":"TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0043U","description":"TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77089","description":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS INTERPRETATION  and  REPORT FX RISK BY OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77092","description":"TBS INTERPRETATION  and  REPORT FX RISK BY OTHER QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77090","description":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHNICAL CALCULATION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77091","description":"TBS TECHNICAL CALCULATION ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0061U","description":"TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC-99M DOM PROD NON-HEU-MO-99 FULL COST REC AO D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9176","description":"TC-99M DOM PROD NON-HEU-MO-99 FULL COST REC AO D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9506","description":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPL WRLS IVC SNR L-T HEMODYN MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0981T","description":"TCAT IMPL WRLS IVC SNR L-T HEMODYN MNTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33289","description":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPLT WRLS L ATR PRS SNR L-T L ATR PRS MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0933T","description":"TCAT IMPLT WRLS L ATR PRS SNR L-T L ATR PRS MNTR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0823T","description":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0795T","description":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61635","description":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0824T","description":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0825T","description":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT  IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT  IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT  IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT  IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDRM GFR MNTR SNR PLMT and  GT 1 DOS PYRAZINE EA 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0603T","description":"TDRM GFR MNTR SNR PLMT and  GT 1 DOS PYRAZINE EA 24 HRS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99368","description":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99368","description":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M ESTABLISHED PATIENT 10 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0665","description":"TEAM REMOTE E/M ESTABLISHED PATIENT 10 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M ESTABLISHED PATIENT 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0666","description":"TEAM REMOTE E/M ESTABLISHED PATIENT 15 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M ESTABLISHED PATIENT 25 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0667","description":"TEAM REMOTE E/M ESTABLISHED PATIENT 25 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M ESTABLISHED PATIENT 40 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0668","description":"TEAM REMOTE E/M ESTABLISHED PATIENT 40 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M NEW PATIENT 10 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0660","description":"TEAM REMOTE E/M NEW PATIENT 10 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M NEW PATIENT 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0661","description":"TEAM REMOTE E/M NEW PATIENT 20 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M NEW PATIENT 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0662","description":"TEAM REMOTE E/M NEW PATIENT 30 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M NEW PATIENT 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0663","description":"TEAM REMOTE E/M NEW PATIENT 45 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM REMOTE E/M NEW PATIENT 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0664","description":"TEAM REMOTE E/M NEW PATIENT 60 MINS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0330T","description":"TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0320","description":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9995","description":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9996","description":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1014","description":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9110","description":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2615","description":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0596T","description":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0597T","description":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0462","description":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0320","description":"TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPRATURE GRADIENT STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93740","description":"TEMPRATURE GRADIENT STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON POROUS MATRIX COLLAGEN  AND  GAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9356","description":"TENDON POROUS MATRIX COLLAGEN  AND  GAG PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOFOVIR LIQ CHROM TANDEM MASS SPECT UR QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0025U","description":"TENOFOVIR LIQ CHROM TANDEM MASS SPECT UR QUAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENS STIMULATES NERVES IN THE AURICULAR REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0721","description":"TENS STIMULATES NERVES IN THE AURICULAR REGION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7902","description":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4146","description":"TENSIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEST SELECT  and  ADMN FUNCTL BRAIN MAP PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96020","description":"TEST SELECT  and  ADMN FUNCTL BRAIN MAP PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTING FOR CRACKED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0461","description":"TESTING FOR CRACKED TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET IMPLANT 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1073","description":"TESTOSTERONE PELLET IMPLANT 75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET IMPLANT 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1073","description":"TESTOSTERONE PELLET IMPLANT 75 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90389","description":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TGSAP NONSMALL CELL LUNG NEO DNA and RNA 23 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0022U","description":"TGSAP NONSMALL CELL LUNG NEO DNA and RNA 23 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TGSAP SO NEO CFDNA ALYS PLSM 521 GENES INTERROG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0585U","description":"TGSAP SO NEO CFDNA ALYS PLSM 521 GENES INTERROG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT  AND  PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0509","description":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT  AND  PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT  AND  PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0508","description":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT  AND  PROV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88241","description":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED EMBRYO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89352","description":"THAWING CRYOPRESERVED EMBRYO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89356","description":"THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89353","description":"THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED TESTICULAR/OVARIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89354","description":"THAWING CRYOPRESERVED TESTICULAR/OVARIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1106","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1111","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1116","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1121","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1126","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1135","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RX MNTR 200 Plus  RX/SBSTS LC-MS/MS PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520U","description":"THER RX MNTR 200 Plus  RX/SBSTS LC-MS/MS PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RX MNTR 60-150 RX and METABLTS UR SLV LC-MS/MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0587U","description":"THER RX MNTR 60-150 RX and METABLTS UR SLV LC-MS/MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RX MNTR 80 Plus  PSYCACTIV RX/SBST LC-MS/MS PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517U","description":"THER RX MNTR 80 Plus  PSYCACTIV RX/SBST LC-MS/MS PLSM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RX MNTR 90 Plus  PAIN and MTL HLTH RX/SBSTS LC-MS/MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518U","description":"THER RX MNTR 90 Plus  PAIN and MTL HLTH RX/SBSTS LC-MS/MS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RX MNTR MEDS PN/DEPRSN/ANXIETY 110 Plus  RX/SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519U","description":"THER RX MNTR MEDS PN/DEPRSN/ANXIETY 110 Plus  RX/SBST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAGENESIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2008","description":"THERAGENESIS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4321","description":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0342T","description":"THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0203","description":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9610","description":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RAD SIM-AIDED FLD STG; COMP PET-CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0562","description":"THERAPEUTIC RAD SIM-AIDED FLD STG; COMP PET-CT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ULTRAFILTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0692T","description":"THERAPEUTIC ULTRAFILTRATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4035","description":"THORACIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMOL TURBIDITY BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P2033","description":"THYMOL TURBIDITY BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE PARATHYROID AT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7555","description":"THYROIDECTOMY TOTAL/COMPLETE PARATHYROID AT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIME LAST KNOWN WELL TO HOS ARRL  LT or equal to TO 3.5 HO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1438","description":"TIME LAST KNOWN WELL TO HOS ARRL  LT or equal to TO 3.5 HO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CONDITIONING MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5851","description":"TISSUE CONDITIONING MANDIBULAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CONDITIONING MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5850","description":"TISSUE CONDITIONING MAXILLARY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE INSITU HYBRIDIZATION INCL INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0479","description":"TISSUE INSITU HYBRIDIZATION INCL INTERPRETATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE MARKER UNIQUELY DETECT  and  ID PROBE/SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1739","description":"TISSUE MARKER UNIQUELY DETECT  and  ID PROBE/SENSOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4174F","description":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4174F","description":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0488","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMA/TMAO PROFILE LC-MS/MS URINE ALG ALYS and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0256U","description":"TMA/TMAO PROFILE LC-MS/MS URINE ALG ALYS and REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMJ DYSFUNCTION - NON-INVASIVE PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9130","description":"TMJ DYSFUNCTION - NON-INVASIVE PT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0483T","description":"TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0029","description":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CNSL CONTROL AND PREVENTION ORAL DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1320","description":"TOBACCO CNSL CONTROL AND PREVENTION ORAL DISEASE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1033F","description":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1033F","description":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1313","description":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOMOGRAPHIC SURVEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0322","description":"TOMOGRAPHIC SURVEY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOOTH REIMPL  and OR STBL ACC EVULSED/DISPLCD TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7270","description":"TOOTH REIMPL  and OR STBL ACC EVULSED/DISPLCD TOOTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOOTH TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7272","description":"TOOTH TRANSPLANTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3389","description":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL ANESTHETIC FOR DIALYSIS PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4736","description":"TOPICAL ANESTHETIC FOR DIALYSIS PER G","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL APPLICATION OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1208","description":"TOPICAL APPLICATION OF FLUORIDE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL APPLICATION OF FLUORIDE VARNISH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1206","description":"TOPICAL APPLICATION OF FLUORIDE VARNISH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4575","description":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0446","description":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPOGRAPHIC BRAIN MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8040","description":"TOPOGRAPHIC BRAIN MAPPING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPOTECAN ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8705","description":"TOPOTECAN ORAL 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPOTECAN ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8705","description":"TOPOTECAN ORAL 0.25 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.22,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9522","description":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22860","description":"TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTALLY IMPL AMEI INITIAL PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0951T","description":"TOTALLY IMPL AMEI INITIAL PLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTALLY IMPL AMEI REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0955T","description":"TOTALLY IMPL AMEI REMOVAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTALLY IMPL AMEI REVISION/RPLCMT W/MSTDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0952T","description":"TOTALLY IMPL AMEI REVISION/RPLCMT W/MSTDC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTALLY IMPL AMEI REVISION/RPLCMT W/O MSTDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0953T","description":"TOTALLY IMPL AMEI REVISION/RPLCMT W/O MSTDC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTALLY IMPL AMEI RPLCMT SOUND PROCESSOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0954T","description":"TOTALLY IMPL AMEI RPLCMT SOUND PROCESSOR ONLY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOURNIQUET FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4929","description":"TOURNIQUET FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81353","description":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81352","description":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0714T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL GT or equal to 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0867T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL GT or equal to 50","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0034U","description":"TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOSTOMY AB INTERNO BY LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0621T","description":"TRABECULOSTOMY AB INTERNO BY LASER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOSTOMY AB INTERNO LASER W/OPH ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0622T","description":"TRABECULOSTOMY AB INTERNO LASER W/OPH ENDOSCOPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY BY LASER INCLUDING OCT GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0730T","description":"TRABECULOTOMY BY LASER INCLUDING OCT GUIDANCE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SHOWER PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7523","description":"TRACHEOSTOMY SHOWER PROTECTOR EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANAL INSJ NDOLUMNL TEMP CLRCT ANAST PROTEC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0967T","description":"TRANAL INSJ NDOLUMNL TEMP CLRCT ANAST PROTEC DEV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6026","description":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0345T","description":"TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9759","description":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER RENAL SYMPATH DENERVATION BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0339T","description":"TRANSCATHETER RENAL SYMPATH DENERVATION BILAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0338T","description":"TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58345","description":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58580","description":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRV INSTLJ BIOD HYDROGEL MATRL INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0990T","description":"TRANSCRV INSTLJ BIOD HYDROGEL MATRL INTRAUTERINE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0733","description":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDERMAL GFR MEAS SNR PLMT and 1 DOS PYRAZINE AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0602T","description":"TRANSDERMAL GFR MEAS SNR PLMT and 1 DOS PYRAZINE AGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1575","description":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER OF CARE CHECKLIST NOT USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0584F","description":"TRANSFER OF CARE CHECKLIST NOT USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER OF CARE CHECKLIST USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0583F","description":"TRANSFER OF CARE CHECKLIST USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TUB RAIL ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0246","description":"TRANSFER TUB RAIL ATTACHMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99496","description":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99495","description":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7532","description":"TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL ARTERY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT USE W/ARTIF PANCREAS DEVC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1036","description":"TRANSMITTER; EXT USE W/ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT REL LODG MEALS  AND  TRNSPRT PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9975","description":"TRANSPLANT REL LODG MEALS  AND  TRNSPRT PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2054","description":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2053","description":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7291","description":"TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0390","description":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9603","description":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORATD TRIP CHRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9604","description":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORATD TRIP CHRG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81341","description":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4714","description":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT RC OBSTRUCTION; NON-SURGICAL ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3331","description":"TREATMENT RC OBSTRUCTION; NON-SURGICAL ACCESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRETINOIN TOPICAL 5 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0117","description":"TRETINOIN TOPICAL 5 GRAMS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS AML 194 GENE INTERROG SEQ VRNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0050U","description":"TRGT GEN SEQ ALYS AML 194 GENE INTERROG SEQ VRNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0239U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI-MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI-MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0508","description":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGEMINAL DIVISION BLOCK ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9212","description":"TRIGEMINAL DIVISION BLOCK ANESTHESIA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4377","description":"TRIGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRISMUS APPLIANCE NOT FOR TMD TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5937","description":"TRISMUS APPLIANCE NOT FOR TMD TREATMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0177","description":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2095","description":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0278T","description":"TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MED ANTB NONHLA BLD SPEC FCM SABT 39TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0581U","description":"TRNSPLJ MED ANTB NONHLA BLD SPEC FCM SABT 39TRGT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MED KDN ALGRFT REJ 1494 GENES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0088U","description":"TRNSPLJ MED KDN ALGRFT REJ 1494 GENES ALG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MED LIVER ALGRFT REJ MIRNA RTPCR 4 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575U","description":"TRNSPLJ MED LIVER ALGRFT REJ MIRNA RTPCR 4 GENES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MED LVR ALGRFT REJ QUAN DDCFDNA WHLGENOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0576U","description":"TRNSPLJ MED LVR ALGRFT REJ QUAN DDCFDNA WHLGENOM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MED QUANTIFICATION DD-CFDNA NGS PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0493U","description":"TRNSPLJ MED QUANTIFICATION DD-CFDNA NGS PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MEDICINE QUAN DD-CFDNA NGS ALYS PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0540U","description":"TRNSPLJ MEDICINE QUAN DD-CFDNA NGS ALYS PLASMA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ PED LVR and BWL MES CD154 Plus T CLL WHL PRPH BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81560","description":"TRNSPLJ PED LVR and BWL MES CD154 Plus T CLL WHL PRPH BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ REJ KDN MRNA GENE XPRSN PRFLG QPCR 139","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81558","description":"TRNSPLJ REJ KDN MRNA GENE XPRSN PRFLG QPCR 139","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ RNL RJCTN MEAS CD154 Plus T CLL WHL PRPH BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0018M","description":"TRNSPLJ RNL RJCTN MEAS CD154 Plus T CLL WHL PRPH BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT COSTS CLIN TRIAL PRTCP  AND  ONE CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9992","description":"TRNSPRT COSTS CLIN TRIAL PRTCP  AND  ONE CAREGIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT WAIT TIME AIR AMB and NON-EMERG VEH 1/2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2007","description":"TRNSPRT WAIT TIME AIR AMB and NON-EMERG VEH 1/2 HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ABLTJ MAL PRST8 TISS HI ENERGY WATER VAPOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0582T","description":"TRURL ABLTJ MAL PRST8 TISS HI ENERGY WATER VAPOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4167","description":"TRUSKIN PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTNS CONTROLLED BY PHONE APPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0737","description":"TTNS CONTROLLED BY PHONE APPLICATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0646T","description":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0570T","description":"TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0569T","description":"TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING PER FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4616","description":"TUBING PER FOOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBING PER FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4616","description":"TUBING PER FOOT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBOTUBAL ANASTATOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58750","description":"TUBOTUBAL ANASTATOMOSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBOUTERINE IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58752","description":"TUBOUTERINE IMPLANTATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWN ZYG GEN TRGT SEQ ALYS CHRMS2 FTL DNA MAT BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0060U","description":"TWN ZYG GEN TRGT SEQ ALYS CHRMS2 FTL DNA MAT BLD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX AMBLYOPIA ASSMT PERF PHYS/QHP W/REPORT CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0688T","description":"TX AMBLYOPIA ASSMT PERF PHYS/QHP W/REPORT CAL MO","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX AMBLYOPIA DEV SUPLY EDUCATIONAL SETUP 1ST SES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0687T","description":"TX AMBLYOPIA DEV SUPLY EDUCATIONAL SETUP 1ST SES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMPLICATIONS - UNUSUAL CIRCUMSTANCES REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9930","description":"TX COMPLICATIONS - UNUSUAL CIRCUMSTANCES REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PARENTERAL DRUGS 2 OR GT  ADMINISTRATIONS DIFF MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9612","description":"TX PARENTERAL DRUGS 2 OR GT  ADMINISTRATIONS DIFF MED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0354","description":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0353","description":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT  IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0239","description":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT  IND","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4541F","description":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3220","description":"TX PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0583T","description":"TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOP ANES T-TUBE DEL DVC UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0561","description":"TYMPANOSTOMY LOCAL/TOP ANES T-TUBE DEL DVC UNI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMS GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81346","description":"TYMS GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tocilizumab for COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0249","description":"Tocilizumab for COVID-19","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRAFILTRATION MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9007","description":"ULTRAFILTRATION MONITOR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8055","description":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3591","description":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1580","description":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.46,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HOME VISIT SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99600","description":"UNLISTED HOME VISIT SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IMMUNE GLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90399","description":"UNLISTED IMMUNE GLOBULIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IN VIVO LABORTORY SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88749","description":"UNLISTED IN VIVO LABORTORY SERVICE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89240","description":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88099","description":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93998","description":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92499","description":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8499","description":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90899","description":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89398","description":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99199","description":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VACCINE/TOXOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90749","description":"UNLISTED VACCINE/TOXOID","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8048","description":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5899","description":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSCHD/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0257","description":"UNSCHD/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4920","description":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5150","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5151","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9999","description":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0999","description":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3999","description":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6999","description":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6199","description":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5999","description":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7999","description":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8999","description":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4999","description":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1999","description":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1999","description":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2999","description":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED TMD THERAPY BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7899","description":"UNSPECIFIED TMD THERAPY BY REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNXPLAIND CONST/OTH HERITABLE DO/SYND GEN XPRSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0266U","description":"UNXPLAIND CONST/OTH HERITABLE DO/SYND GEN XPRSN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD EXTRNL PWR FTR MYOELEC CTRL MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6700","description":"UPPER EXT ADD EXTRNL PWR FTR MYOELEC CTRL MOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD TEST SCKT/INTERFACE PRTL HND FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6029","description":"UPPER EXT ADD TEST SCKT/INTERFACE PRTL HND FNGR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION EXT FRAME PRTL HND FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6030","description":"UPPER EXTREMITY ADDITION EXT FRAME PRTL HND FNGR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI BLOOD DETECTION SENSOR CAPSULE I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0977T","description":"UPPER GI BLOOD DETECTION SENSOR CAPSULE I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URGENT CARE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4036","description":"URGENT CARE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"URINAL; FEMALE JUG-TYPE ANY MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0326","description":"URINAL; FEMALE JUG-TYPE ANY MATERIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINAL; MALE JUG-TYPE ANY MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0325","description":"URINAL; MALE JUG-TYPE ANY MATERIAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY 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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE TEST OR REAGENT STRIPS OR TABLETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4250","description":"URINE TEST OR REAGENT STRIPS OR TABLETS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"UROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4037","description":"UROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABLATJ UTERINE LEIOMYOMATA  LT  200 CC TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0071T","description":"US ABLATJ UTERINE LEIOMYOMATA  LT  200 CC TISSUE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0815T","description":"US REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTIL SRVC SUPP MED EQP and ASSTIV TECH/DEVC WAIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2035","description":"UTIL SRVC SUPP MED EQP and ASSTIV TECH/DEVC WAIVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINE QIRV MRNA 30 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90637","description":"VACCINE QIRV MRNA 30 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINE QIRV MRNA 60 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90638","description":"VACCINE QIRV MRNA 60 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90393","description":"VACCINIA IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0901","description":"VADADUSTAT ORAL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0901","description":"VADADUSTAT ORAL 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0005","description":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE CONCENTRATION MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4620","description":"VARIABLE CONCENTRATION MASK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE CONCENTRATION MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4620","description":"VARIABLE CONCENTRATION MASK","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE SPHERICITY LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2499","description":"VARIABLE SPHERICITY LENS OTHER TYPE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4038","description":"VASCULAR SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR SURGERY MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1503","description":"VASCULAR SURGERY MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VBAC CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9439","description":"VBAC CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2983","description":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4918","description":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8565","description":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8565","description":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9090","description":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0277","description":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5991","description":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0725T","description":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9476","description":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7340","description":"VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7350","description":"VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4251","description":"VIM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRAL CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0416","description":"VIRAL CULTURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRTUAL TREATMENT SIM 3D IMAGE VOLUME/SURF SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0393","description":"VIRTUAL TREATMENT SIM 3D IMAGE VOLUME/SURF SCAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISION ITEM OR SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2799","description":"VISION ITEM OR SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2211","description":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2797","description":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ  and  REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0464T","description":"VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ  and  REPRT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0378T","description":"VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0379T","description":"VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.16,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","12","13","16","17","19","20","21","22","23","24","27","50","72","81"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAMIN D SERUM MICROSAMPLE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0038U","description":"VITAMIN D SERUM MICROSAMPLE QUANTITATIVE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81355","description":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLCAD LEUKOCYTE ENZYME ACTIVITY WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0257U","description":"VLCAD LEUKOCYTE ENZYME ACTIVITY WHOLE BLOOD","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA-APV AC NOT PRSC REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9928","description":"WARFARIN/ANR FDA-APV AC NOT PRSC REASON NOT GVN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER CIRC MTR COLD TX DEVC NON-OPIOID MED DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9810","description":"WATER CIRC MTR COLD TX DEVC NON-OPIOID MED DEVC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1625","description":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0669","description":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1009","description":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEARABLE ARTIFICIAL KIDNEY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1632","description":"WEARABLE ARTIFICIAL KIDNEY EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9449","description":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5190","description":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR SEAT CUSHION POWERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2610","description":"WHEELCHAIR SEAT CUSHION POWERED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR VAN MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1220","description":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1300","description":"WHIRLPOOL PORTABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL TUB WALK-IN PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1301","description":"WHIRLPOOL TUB WALK-IN PORTABLE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1140","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9051","description":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96904","description":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIG ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9282","description":"WIG ANY TYPE EACH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIRELESS SKIN SNR THERMAL ANISOTROPY MEAS and ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0639T","description":"WIRELESS SKIN SNR THERMAL ANISOTROPY MEAS and ASSMT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0049","description":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9272","description":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1280","description":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK HARDENING/CONDITIONING 1ST 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97545","description":"WORK HARDENING/CONDITIONING 1ST 2 HR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK HARDENING/CONDITIONING EACH HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97546","description":"WORK HARDENING/CONDITIONING EACH HOUR","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99456","description":"WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK RELATED/MED DBLT XM TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99455","description":"WORK RELATED/MED DBLT XM TREATING PHYS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND WARMING WOUND COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0232","description":"WOUND WARMING WOUND COVER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4162","description":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLISTEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2004","description":"XCELLISTEM PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4142","description":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0737T","description":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENON XE-129 HYPERPOLARIZED GAS DIAG PER ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9610","description":"XENON XE-129 HYPERPOLARIZED GAS DIAG PER ST DOSE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XK GNOTYP GENE ANALYSIS XK EXONS 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0200U","description":"XK GNOTYP GENE ANALYSIS XK EXONS 1-3","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 15D LT 30D REC SCAN ALYS RVW and INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0937T","description":"XTRNL ECG REC GT 15D LT 30D REC SCAN ALYS RVW and INTERPJ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 15D LT 30D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0938T","description":"XTRNL ECG REC GT 15D LT 30D RECORDING","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 15D LT 30D REVIEW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0940T","description":"XTRNL ECG REC GT 15D LT 30D REVIEW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 15D LT 30D SCANNING ANALYSIS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0939T","description":"XTRNL ECG REC GT 15D LT 30D SCANNING ANALYSIS W/REPORT","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0858T","description":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP 2.0 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4402","description":"XWRAP 2.0 PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4358","description":"XWRAP DUAL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4358","description":"XWRAP DUAL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4403","description":"XWRAP DUAL PLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP FENESTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4406","description":"XWRAP FENESTRA PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP FENESTRA PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4405","description":"XWRAP FENESTRA PLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP HYDRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4408","description":"XWRAP HYDRO PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP HYDRO PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4404","description":"XWRAP HYDRO PLUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4357","description":"XWRAP PLUS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4357","description":"XWRAP PLUS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP TRIBUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4407","description":"XWRAP TRIBUS PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YT GNOTYP GENE ANALYSIS ACHE EXON 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0201U","description":"YT GNOTYP GENE ANALYSIS ACHE EXON 2","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"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":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","03","05","06","07","08","10","11","16","17","19","20","22","27","50","72"]}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[210130],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}